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Diabetic Supply Program Compliance pdf
Connecticut Medicaid (HUSKY Health)·CT · Endocrinology, Family Medicine, Internal Medicine·Provider Bulletin
Effective date
Aug 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid pharmacy providers must bill diabetic supplies (meters, test strips, lancets) through Point of Sale (POS) using NCPDP D.0 format instead of as Durable Medical Equipment (DME), effective November 4, 2020. Claims submitted as DME to bypass prior authorization will be subject to full recoupment starting August 1, 2021.
Action Required
By August 1, 2021: Connecticut pharmacy providers must stop billing diabetic supplies (meters, test strips, lancets) as DME and submit claims via Point of Sale (POS) in NCPDP D.0 format. Update billing system to use the Connecticut Medicaid Preferred Diabetic Supply Product List available at ctdssmap.com. Continue billing Continuous Glucose Monitor (CGM) devices as DME. Claims submitted as DME to bypass prior authorization will result in full recoupment.