Stricken language would be deleted from and underlined language would be added to present law.
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State of Arkansas 1
95th General Assembly A Bill 2
Regular Session, 2025 HOUSE BILL 1255 3
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By: Representative Wooldridge 5
By: Senator B. Davis 6
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For An Act To Be Entitled 8
AN ACT TO AMEND THE COVERAGE OF A CONTINUOUS GLUCOSE 9
MONITOR IN THE ARKANSAS MEDICAID PROGRAM; AND FOR 10
OTHER PURPOSES. 11
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Subtitle 14
TO AMEND THE COVERAGE OF A CONTINUOUS 15
GLUCOSE MONITOR IN THE ARKANSAS MEDICAID 16
PROGRAM. 17
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BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 19
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SECTION 1. Arkansas Code § 20 -77-148(c), concerning the coverage of a 21
continuous glucose monitor within the Arkansas Medicaid Program, is amended 22
to read as follows: 23
(c) Coverage for a continuous glucose monitor under the Arkansas 24
Medicaid Program shall allow the beneficiary to obtain a continuous glucose 25
monitor through: 26
(1) A a prescription at a pharmacy and be eligible for rebates 27
as a pharmacy benefit ; or 28
(2)(A) A written order from a ordering practitioner for durable 29
medical equipment provided by a durable medical equipment provider and be 30
eligible as a durable medical equipment benefit. 31
(B) A durable medical provider shall not be required to 32
submit a National Drug Code as part of any claim submission under this 33
section. 34
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SECTION 2. Arkansas Code § 20 -77-148, concerning coverage of 36 HB1255
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continuous glucose monitors within the Arkansas Medicaid Program, is amended 1
to add an additional subsection to read as follows: 2
(d) Regardless of whether the coverage for a continuous glucose 3
monitor is provided through a pharmacy or a durable medical equipment 4
provider, the Department of Human Services shall: 5
(1) Implement consistent approval processes and paperwork 6
requirements; and 7
(2) Reimburse for a continuous glucose monitor provided by a 8
durable medical equipment provider at no less than the Medicare reimbursement 9
under the Healthcare Common Procedure Coding System. 10
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