Ga. Comp. R. & Regs. 120-2-82-.07

Current through Rules and Regulations filed through October 29, 2024

Rule 120-2-82-.07 - Minimum Standards for Single-Use Medical Supply Coverage Defined

Health insurance policies and plans, except limited benefit insurance policies, shall provide coverage for the following single-use medical supplies when prescribed by a physician licensed to practice medicine pursuant to Title 43:

(1) Test strips for glucose monitors, which include test strips whose performance achieved clearance by the federal Food and Drug Administration (FDA) for marketing;

(2) Visual reading and urine testing strips, which includes visual reading strips for glucose, urine testing strips for ketones, or urine test strips for both glucose and ketones. Using urine test strips for glucose only is not acceptable as the sole method of monitoring blood glucose levels;

(3) Lancets and single use lancing devices used in conjunction with the monitoring of glycemic control;

(4) Syringes, which includes insulin syringes, insulin injection needles for use with pen-like insulin injection devices and other disposable parts required for insulin injection aids;

(5) Medical supplies for use with insulin pumps and insulin infusion pumps to include infusion sets, cartridges, syringes, skin preparation, batteries and other disposable supplies needed to maintain insulin pump therapy;

(6) Medical supplies for use with or without syringes, insulin pumps and insulin infusion pumps to include disposable devices to assist with the injection of insulin and infusion sets, alcohol swabs and related preparations and other similar compounds associated with the cleansing of injection sites prior to the administration of insulin; and

(7) Such other single-use medical supplies that are medically necessary and consistent with the current standards of care of the American Diabetes Association.

Ga. Comp. R. & Regs. R. 120-2-82-.07

O.C.G.A. Secs. 33-2-9, 33-24-59.2.

Original Rule entitled "Penalties" adopted. F. Nov. 12, 1999; eff. Dec. 2, 1999.

Repealed: New Rule entitled "Minimum Standards for Single-Use Medical Supply Coverage Defined" adopted. F. Oct. 8, 2002; eff. Oct. 28, 2002.