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MedicaidAdministrativeMedium impact

Idaho Medicaid: New billing updates for diabetes equipment and supplies

UnitedHealthcare·ID · Endocrinology, Family Medicine, Internal Medicine·State news
Effective date
Apr 1, 2026
We identified it
Feb 1, 2026
Days to comply

Summary

Idaho Medicaid is moving billing for diabetes equipment and supplies from medical benefits to pharmacy benefits effective April 1, 2026. This affects 17 HCPCS codes including blood glucose monitors, test strips, insulin syringes, and continuous glucose monitoring supplies.

Action Required

Action needed
By April 1, 2026: Billing team must update system to route all diabetes supply codes (A4206, A4211, A4238, A4239, A4245, A4250, A4253, A4256, A4258, A4259, A4271, A9275, A9276, A9277, A9278, E0607, E0784, E2100, E2101, E2102, E2103, E2104) to pharmacy benefits instead of medical benefits for Idaho Medicaid patients. During transition period (Jan 1 - March 31, 2026), claims can be billed to either benefit but avoid duplicate billing. Claims submitted to medical benefits after April 1 will be denied.

Affected Billing Codes

A4206
A4211
A4238
A4239
A4245
A4250
A4253
A4256
A4258
A4259
A4271
A9275
A9276
A9277
A9278
E0607
E0784
E2100
E2101
E2102
E2103
E2104