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UnitedHealthcareMedicaid · Billing Codes · State news · ID · Endocrinology, Family Medicine, Internal Medicine +1 moreHigh impact

Idaho Medicaid: New billing updates for diabetes equipment and supplies

Act
by Apr 1, 2026
Effective date
Apr 1, 2026
Identified
Jun 13, 2026

Summary

Idaho Medicaid is moving billing for diabetes supplies and insulin administration equipment from medical benefit to pharmacy benefit effective April 1, 2026. During the transition period (Jan 1 - March 31, 2026), providers can bill either benefit, but after April 1st, all these codes must be billed through pharmacy or claims will be denied.

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What to do

by Apr 1, 2026 · 3 steps
01Billing team must update system to route all diabetes supply codes (A4206, A4211, A4238, A4239, A4245, A4250, A4253, A4256, A4258, A4259, A4271, A9275, A9276, A9277, A9278, E0607, E0784, E2100, E2101, E2102, E2103, E2104) to pharmacy benefit instead of medical benefit for Idaho Medicaid patients.
02Update billing software rules and train staff on new workflow.
03Claims billed to medical benefit after April 1st will be denied.

Codes mentioned

A4206A4211A4238A4239A4245A4250A4253A4256A4258A4259A4271A9275A9276A9277A9278E0607E0784E2100E2101E2102E2103E2104

Original notice

Idaho Medicaid: New billing updates for diabetes equipment and supplies
uhcprovider.com · Always check the source before changing claims.
View original ↗

Related changes

See all UnitedHealthcare changes →
Idaho Medicaid: New billing updates for diabetes equipment and suppliesMediumEffective Apr 1, 2026 · State newsBrowse every UnitedHealthcare change in the policy list

Related policy hubs

UnitedHealthcare policiesID policy changesEndocrinologyFamily MedicineInternal MedicineGeneral PracticeCode A4206Code A4211Code A4238Code A4239Code A4245Code A4250Code A4253Code A4256Code A4258Code A4259Code A4271Code A9275Code A9276Code A9277Code A9278Code E0607Code E0784Code E2100Code E2101Code E2102Code E2103Code E2104

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