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15.2.2 Insulin Pump
15.2.2.1 Benefits
The purchase or rental of external insulin pumps is a benefit of the CSHCN Services Program using procedure code E0784.
Rental of an external insulin pump may be reimbursed for a 3-month trial, which must occur before the purchase can be authorized. In order for an external insulin pump to be considered for purchase, the physician must provide documentation that it is the appropriate equipment for the client and that the client is compliant with use.
Related supplies for an external ambulatory insulin pump may be prescribed by any physician.
Reimbursement for an internal insulin pump is included in the reimbursement for the surgery to place the pump. No separate payment will be made.
Note: Insulin and insulin syringes are available through the Vendor Drug Program.
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