Changes to the Reimbursement of Diabetic Supplies:
- Effective October 1, 2024, diabetic supplies for all eligible Medicaid recipients will be available for reimbursement through the pharmacy benefit at the point-of-sale.
- Previously, these supplies were only available through the Durable Medical Equipment and Medical Supplies (DME) benefit.
- To ensure continuity of care and enable recipients to receive the proper authorizations to transfer their diabetic supplies to the pharmacy benefit, reimbursement through the DME benefit will continue to be available until January 1, 2025.
- Effective January 1, 2025, almost all products available through the pharmacy benefit will no longer be reimbursed through the DME benefit. Please refer to the DME fee schedule, effective January 1, 2025, for products that may continue to be reimbursed through the DME benefit.