Dependents RCW Plans that cover dependents must have language allowing the Under Age 26 member to cover dependents under the age of 26. RCW Diabetes Coverage If the contract provides pharmacy benefits: Contract must provide 48.20.391 Requirements appropriate and medically necessary equipment and supplies, as (2)(a); prescribed by a health care provider, for all subscribers diagnosed “Insulin using”, “Non-insulin using”, and “elevated blood glucose Diabetes Coverage induced by pregnancy. (WAC 284-43-5642(1)(d)(iii); WAC (Cont’d) Requirements (Cont’d) This must include: RCW insulin, syringes, injection aids, blood glucose monitors, 48.20.391 test strips (for blood glucose monitors, visual blood sugar (2)(a); reading, and urine testing); insulin pumps and accessories WAC to the pumps, insulin infusion devices, prescriptive oral agents for controlling blood sugar levels, foot care appliances for prevention of complications associated with diabetes, and glucagon emergency kits. RCW Whether or not the contract provides Pharmacy Benefits, 48.20.391 contract must provide: (2)(b); outpatient self-management training and education, including WAC medical nutrition therapy, as ordered by the health care provider. Diabetes outpatient self-management training and education may be provided only by providers with expertise in diabetes.
Dependents Under Age 26 RCW Plans that cover dependents must have language allowing the member to cover dependents under the age of 26. Diabetes Diabetes (Cont’d) Coverage Requirements Coverage Requirements (Cont’d) RCW 48.20.391 (2)(a); If the contract provides pharmacy benefits: Contract must provide appropriate and medically necessary equipment and supplies, as prescribed by a health care provider, for all subscribers diagnosed “Insulin using”, “Non-insulin using”, and “elevated blood glucose induced by pregnancy. (WAC 284-43-5642(1)(d)(iii); WAC This must include: RCW 48.20.391 (2)(a); WAC insulin, syringes, injection aids, blood glucose monitors, test strips (for blood glucose monitors, visual blood sugar reading, and urine testing); insulin pumps and accessories to the pumps, insulin infusion devices, prescriptive oral agents for controlling blood sugar levels, foot care appliances for prevention of complications associated with diabetes, and glucagon emergency kits. RCW 48.20.391 (2)(b); WAC Whether or not the contract provides Pharmacy Benefits, contract must provide: outpatient self-management training and education, including medical nutrition therapy, as ordered by the health care provider. Diabetes outpatient self-management training and education may be provided only by providers with expertise in diabetes.