S1037 Insurance Policy Changes

Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Idaho Only)

UnitedHealthcare Community Plan of Idaho (Medicaid) updated its policy on Continuous Glucose Monitoring and Insulin Delivery effective October 1, 2026. Eight specific HCPCS and CPT codes (0446T, 0448T, S1030, S1031, S1034, S1035, S1036, S1037) are now flagged as NOT on the Idaho Medicaid Fee Schedule and may not be covered; billing teams must verify coverage through the Idaho Medicaid Provider Handbook before submitting claims for these codes.