Denver Health Medical Plan (DHMP) follows the Centers for Medicare & Medicaid Services (CMS) and Colorado Department of Health Care Policy & Financing (HCPF) guidelines for Continuous Glucose Monitor (CGM) billing. Instances of non-compliance pertaining to these requirements may result in the denial of claims.
For additional information please review the following links:
Medicare:
CMS Glucose Monitors
Medicaid:
HCPF Provider Rates and Fee Schedule
HCPF Continuous Glucose Monitor (CGM) Benefit Coverage