Hello Yoda451,
The US Health Care Financing Administration (HCFA) announced in 1999
that Medicare would cover the cost of insulin pumps for persons with
type 1 diabetes. HCFA is the federal agency that administers the
Medicare, Medicaid, and Child Health Insurance Programs.
Weill Medical College of Cornell University
http://wo-pub2.med.cornell.edu/cgi-bin/WebObjects/PublicA.woa/9/wa/viewHContent?website=wmc+physicians&contentID=344&wosid=JZDktaAhsNWamfdbgnzfvw
--------------------------------------------------------------
From the CMS - Centers for Medicare & Medicaid Services,Office of Public Affairs
Friday, September 24, 1999
MEDICARE WILL COVER INSULIN PUMPS FOR BENEFICIARIES
?Expanding treatment options for Medicare beneficiaries with diabetes,
HCFA Deputy Administrator Michael Hash today announced Medicare will
cover insulin infusion pumps for eligible beneficiaries with Type I
diabetes.?
(?)
?The decision to expand Medicare benefits to include insulin infusion
pumps was made within the 90-day deadline HCFA established when it
announced a new Medicare administrative process in April 1999.?
(?)
"We are pleased that HCFA responded promptly to a need to examine new
scientific evidence about the insulin pump. Based on an analysis that
used evidence-based research, HCFA decided that Medicare beneficiaries
should have access to this new state-of-the-art therapy,"said Jeffrey
Kang, M.D., Director of HCFA's Office of Clinical Standards and
Quality.?
(?)
HCFA next will issue a coverage instruction, including coding and
billing information, to all of its contractors that will specify an
effective date that payment will become available for insulin infusion
pumps for Type I diabetics.
http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=144
--------------------------------------------------------------
April 1, 2000
?As of April 1, 2000, Medicare recipients who have type 1 diabetes can
receive coverage for purchase of insulin pumps. The Health Care
Financing Administration (HCFA) now classes insulin pumps as Durable
Medical Equipment, and will cover them as ?medically necessary? where
the patient meets the following criteria??
Source: ?HCFA Coverage Issues Manual,? 60-14.
http://www.nfb.org/vod/vsum0011.htm
--------------------------------------------------------------
HCFA Coverage of Insulin Infusion Pumps
?As of April 1, 2000 the Health Care Financing Administration will
cover the use of continuous subcutaneous insulin infusion pumps for
Medicare beneficiaries. Medical documentation of the device's
necessity must be submitted with the claim.?
ASHP: March 2000 http://www.ashp.org/news/ShowArticle.cfm?cfid=875859&CFToken=87617109&id=261
--------------------------------------------------------------
Since 2000
?CMS has covered use of the Continuous Subcutaneous Insulin Infusion
Pumps since 2000, based on several criteria that include a certain
C-peptide range.? http://www.cms.hhs.gov/mcd/viewtrackingsheet.asp?id=109
--------------------------------------------------------------
?On September 24,1999 the Health Care Finance Administration (HCFA),
the agency that oversees Medicare, announced that it will begin
funding insulin pumps for people with type 1 diabetes that are covered
by Medicare. This includes people over age 65, people with
disabilities and people with end-stage renal failure.?
Diabetes Health Magazine
http://www.diabeteshealth.com/read,3003,1708.html
Search terms used:
Medicaid coverage of insulin pumps since 1990..2001
I hope the information provided is helpful!
Best regards,
Bobbie7 |
Clarification of Answer by
bobbie7-ga
on
27 Apr 2006 20:26 PDT
I located the following information.
"To date, 29 states have enacted mandates for diabetic supplies and/or
education. The majority of these mandates were enacted only recently
(14 states enacted mandates in 1997 and 5 states enacted mandates in
1998."
"The first state to enact a diabetic supplies and education mandate was Wisconsin."
"The submission from the Insurance Federation stated, "Insurers take
some comfort from the fact that diabetes coverage was mandated in
Connecticut effective October 1, 1997 with an estimated cost impact of
only 0.1%. Likewise, diabetes treatment was passed in Indiana
effective January 1, 1998, and is expected to have a similar effect."
"Both Maryland and Maine were able to reduce Medicaid expenditures by
providing benefits to their diabetic population. Both states have
since enacted mandates for insurance coverage of diabetic supplies and
education (Maine in 1996, Maryland in 1997)."
http://www.phc4.org/reports/mandates/HB656/staff_analysis_of_act_34_require.htm
I hope this is what you're looking for.
Best regards,
Bobbie7
|
,
0 Comments
)