OSP News

MDHHS Corrects Coding Errors in Disposable Insulin Pump, Glucose Monitoring Systems

Posted: 07/17/2023

Please be advised the Michigan Department of Health and Human Services has discovered a coding error in Letter 23-15 and Bulletin MMP 23-31. MDHHS has corrected the errors in the Medicaid Code Rate and Reference tool.

Letter 23-15, dated March 9, 2023, notified providers of changes to coverage of the Omnipod, disposable insulin pump, effective April 1, 2023. However, the notice incorrectly listed the quantity limit as 10 pods per month rather than 15 pods per month. MDHHS reprocessed all impacted claims submitted with a quantity of 15 pods but only paid 10 pods. The claims impacted were for dates of service between April 1, 2023, and May 23, 2023.

Click here to read the full article released by Blue Cross Complete.

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