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UTAH MEDICAID PHARMACY PRIOR AUTHORIZATION REQUEST Noncontinuous Glucose Monitor (CGM) Member and Medication Information BOLD indicates required field×Member ID:*Member Name:*DOB:*Weight:*Medication

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What is continuous glucose monitor cgm?

A continuous glucose monitor (CGM) is a medical device that automatically tracks blood glucose levels throughout the day and night, providing real-time information to help manage diabetes.

Who is required to file continuous glucose monitor cgm?

Individuals with diabetes who are using a continuous glucose monitor may be required to file CGM data for insurance reimbursement or for participation in certain health programs.

How to fill out continuous glucose monitor cgm?

To fill out a continuous glucose monitor report, users should follow the manufacturer's guidelines, input the necessary glucose readings, calibration data, and any other relevant health metrics as required.

What is the purpose of continuous glucose monitor cgm?

The purpose of a continuous glucose monitor is to provide individuals with diabetes continuous insights into their glucose levels, helping them to make informed decisions about their diet, exercise, and medication.

What information must be reported on continuous glucose monitor cgm?

Information that must be reported includes glucose readings, time stamps, calibration details, and any occurrences of hypoglycemia or hyperglycemia.

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