The American Medical Association (AMA) and Medical Association of Georgia (MAG) are collaborating to share that Georgia Medicaid has expanded its coverage benefits to include home blood pressure devices and reimbursement for self-measured blood pressure (SMBP) clinical services.
AMA and MAG developed guidance to assist physicians and care teams in ordering SMBP and validated blood pressure devices for their patients.
Access the resources to understand the policy updates, the reimbursement available for physicians to provide SMBP clinical services, and the process for ordering blood pressure devices through the Durable Medical Equipment (DME) benefit.
How to prescribe SMBP to Georgia Medicaid patients
Step-by-step guidance to determine patient eligibility, documentation and prior authorization requirements, and tips for implementing an effective SMBP program.
- Download the step-by-step guide (PDF)
Georgia Medicaid reference material
Reference the Georgia Medicaid Policies and Procedures manual along with other resources regarding SMBP and blood pressure devices for patients with Georgia Medicaid.
- Georgia Policies and Procedures Manual for Durable Medical Equipment Services (download Durable Medical Equipment)
- Certification of Medical Necessity for Blood Pressure Monitor (PDF)
- PA, Waiver, and Medical Claims Materials