MedicaidCoverageMedium impact
5160-10-36 - DMEPOS: continuous glucose monitors. (New/Final File)
Ohio Medicaid·OH · Endocrinology, Family Medicine, Internal Medicine +1 more·Medical Policy
Effective date
Oct 15, 2022
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has finalized a new policy (Rule 5160-10-36) governing coverage and billing requirements for continuous glucose monitors (CGMs) as durable medical equipment. This policy became effective October 15, 2022 and establishes specific criteria for CGM coverage under Ohio Medicaid.
Action Required
Review the full policy text at the Ohio Department of Medicaid to understand specific coverage criteria, prior authorization requirements, and billing guidelines for continuous glucose monitors. Contact Tommi Potter at 614-752-3877 for clarification on any CGM billing requirements under Ohio Medicaid.