MedicaidCoverageMedium impact
Blood Pressure Monitoring Kit
Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine, General Practice +1 more·Provider Notice
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Summary
Blood pressure monitoring kits are now a covered benefit for all Medicaid participants, including prenatal and postpartum members, under both managed care and traditional fee-for-service plans. No prior authorization is required for initial equipment orders within specified benefit limits, but replacements before normal limits require prior approval for traditional Medicaid.
Action Required
Immediately: Update billing system to recognize HCPCS codes A4660, A4663, and A4670 as covered DME benefits for Medicaid participants with no copayments required. Train billing team on benefit limits (A4660: 1 per 365 days, A4663: 1 per 365 days, A4670: 1 per 1,825 days). For replacements before benefit limits, obtain prior authorization for traditional Medicaid or contact managed care plan for managed care participants.