MedicaidCoverageMedium impact
KMAP BULLETIN: Adjunctive Subcutaneous Continuous Glucose Monitors
Kansas Medicaid (KanCare)·KS · Endocrinology, Family Medicine, Internal Medicine +1 more·Provider Bulletin
Effective date
Apr 1, 2024
We identified it
Jun 21, 2026
Summary
Kansas Medicaid now covers adjunctive continuous glucose monitors under DME benefits effective April 1, 2024. Two specific HCPCS codes are now reimbursable: E2102 at $178.56 per 12 months and A4238 at $209.56 per month, with physician renewal orders required every 12 months.
Action Required
Immediately: Billing team must update system to bill HCPCS codes E2102 ($178.56, max 1 unit per 12 months) and A4238 ($209.56, max 1 unit per month) for adjunctive CGMs under DME benefit for Kansas Medicaid patients. Providers must obtain physician renewal orders every 12 months. Update encounter forms to reflect new coverage and reimbursement rates.