Palmetto’s Local Coverage Determination regarding Diabetes has a significant update effective May 5, 2016. From the LCD:
For other beneficiaries with stable glycemic control (defined as two consecutive HbA1c results meeting the treatment goals specified in the plan of care) performing the HbA1c test at least two times a year may be considered reasonable and necessary.
For other information on how these changes came about, check out ‘Care for the (whole) person with Diabetes‘ on the Haydel Consulting Webpage.
The entire text for the revised LCD can be found at the Medicare LCD database. Remember these changes only apply to care provided after May 5.