Stricken language would be deleted from and underlined language would be added to present law. Act 857 of the Regular Session *JMB182* 04-03-2025 09:17:58 JMB182 State of Arkansas As Engrossed: S4/3/25 1 95th General Assembly A Bill 2 Regular Session, 2025 HOUSE BILL 1255 3 4 By: Representative Wooldridge 5 By: Senator B. Davis 6 7 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 12 13 Subtitle 14 TO AMEND THE COVERAGE OF A CONTINUOUS 15 GLUCOSE MONITOR IN THE ARKANSAS MEDICAID 16 PROGRAM. 17 18 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 19 20 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 35 SECTION 2. Arkansas Code § 20 -77-148, concerning coverage of 36 As Engrossed: S4/3/25 HB1255 2 04-03-2025 09:17:58 JMB182 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 requirements; and 6 (2) Reimburse for a continuous glucose monitor provided by a 7 durable medical equipment provider at no less than the Medicare reimbursement 8 under the Healthcare Common Procedure Coding System. 9 10 /s/Wooldridge 11 12 13 APPROVED: 4/17/25 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36