Skip to Main Content

Effective January 1, 2023: Changes to Diabetic Equipment and Supplies Benefits for Texas Medicaid

Date: 02/17/23

For dates of service on or after January 1, 2023, benefits pertaining to continuous glucose monitor and integrated insulin pump equipment and supplies will change under Texas Medicaid.

Overview of Benefit Changes

Major changes to this medical benefit include the following:

  • New procedure codes for adjunctive continuous glucose monitors (CGMs)
  • New procedure codes for CGM-integrated external insulin pumps with adjunctive CGM capability
  • New benefit for CGM-integrated external insulin pumps with therapeutic CGM capability

For the full breakdown of changes, please reference the Texas Medicaid & Healthcare Partnership article Diabetic Equipment and Supplies Benefits to Change for Texas Medicaid January 1, 2023.

For any questions, please contact your local Account Manager.