As a requirement of the Diabetes Care and Prevention Action Program Act, which was enacted during the 2019-2020 state legislative session, the state Department of Health Services (DHS) recently submitted a report to the Legislature that includes recommendations to help “reduce the number of new cases of diabetes, improve diabetes care, and manage diabetes-associated complications.”  More specifically, the report makes the following specific recommendations:

·        Reduce patient cost-sharing of diabetes self-management education and support services (DSMES), devices, supplies, and medicines.

·        Increase pricing and insurance coverage transparency for all diabetes medications throughout the supply chain.

·        Improve access for personal continuous glucose monitoring.

·        Reimburse DSMES delivered by all professional support providers, including pharmacists, registered nurses, registered dietitian nutritionists, and certified diabetes care and education specialists.

·        Reimburse for DSMES delivered via telehealth.

·        Require Wisconsin health insurers to maintain at least one non-insulin drug in every diabetes drug class available on-formulary.

·        Reimburse community health workers who provide chronic disease management and care coordination services.