Self-measured blood pressure (SMBP) benefits for patients with Medicaid: North Carolina

North Carolina Medicaid has expanded its coverage benefits to include home blood pressure devices and reimbursement for self-measured blood pressure (SMBP) clinical services.

AMA has 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.

Step by step guidance to determine patient eligibility, documentation and prior authorization requirements, and tips for implementing an effective SMBP program.

• ​​Download the guide (PDF)

Reference the North Carolina Medicaid Policies and Procedures manual along with other resources regarding SMBP and blood pressure devices for patients with North Carolina Medicaid.

NC policy

• North Carolina Policy 5A-3, Nursing Equipment and Supplies

NC patient eligibility

• NC Medicaid Request for Prior Approval CMN/PA (PDF)
• Request for Prior Approval CMN/PA Continuation Form (PDF)

1. SMBP Jumpstart: A Self-Measured Blood Pressure Curriculum (AMA Ed Hub™ CME)

2. SMBP for patients with Medicaid

3. AMA 7-step quick guide

4. Validated device listing (VDL™)

5. SMBP cuff selection (PDF)