Okla. Admin. Code § 310:590-3-1

Current through Vol. 41, No. 19, June 17, 2024

Section 310:590-3-1 - Equipment, supplies, and appliances to treat diabetes

When deemed medically necessary and upon prescription or diagnosis by a physician or health care provider with prescribing authority working under the supervision of a physician, all individual or group health insurance defined by statute and or governed by the Oklahoma Insurance Commissioner or other appropriate statutory state agency as defined by statute must reimburse/cover the following equipment, appliances, insulin, prescriptions, drugs, and supplies:

(1) Blood glucose monitors, which includes all commercially available blood glucose monitors designed for patient use and for persons who have been diagnosed with diabetes.

(2) Blood glucose monitors to the legally blind which includes all commercially available blood glucose monitors designed for patient use with adaptive devices and for persons who are legally blind and have been diagnosed with diabetes.

(3) Test strips for glucose monitors, which includes test strips whose performance shall achieve the standards of the American College of Pathology, glucose control solutions, lancet devices and lancets for monitoring glycemic control.

(4) 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 ketone. Urine test strips for glucose only are not acceptable as the sole method of monitoring.

(5) Insulin, which includes all commercially available insulin preparations including insulin analog preparations available in either vial or cartridge.

(6) Injection aids, which includes devices used to assist with insulin injection.

(7) Syringes, which includes insulin syringes, pens-like insulin injection devices, pen needles for pen-like insulin injection devices and other disposable parts required for insulin injection aids.

(8) Insulin pumps as prescribed by the physician and appurtenances thereto, which includes insulin infusion pumps and supplies such as skin preparations, adhesive supplies, infusion sets, cartridges, batteries and other disposable supplies needed to maintain insulin pump therapy. Includes durable and disposable devices used to assist in the injection of insulin.

(9) Oral agents for controlling the blood sugar level which are prescription drugs.

(10) Podiatric appliances for prevention of complications associated with diabetes, which includes therapeutic molded or depth-inlay shoes, replacement inserts, preventive devices, and shoe modifications for prevention and treatment.

(11) Glucagon Emergency Kits or injectable glucagon.

Okla. Admin. Code § 310:590-3-1

Added at 14 Ok Reg 943, eff 1-8-97 through 7-14-97 (emergency); Added at 14 Ok Reg 3140, eff 7-25-97