Palmetto GBA has revised and electronically linked its Part A Home Health Local Coverage Determination (LCD) L35132 (Home Health Plans of Care: Monitoring Glucose Control in the Medicare Home Health Population with Type II Diabetes Mellitus) with its Part B LCD L33431 (HbA1c). Both policies were recently revised to promote the implementation of best practices cited in the American Diabetes Association’s (ADA’s) Standards of Medical Care in Diabetes – 2016 . The goal is to promote effective communication between physicians and home health agencies; help reduce adverse drug events in this vulnerable patient population; and reduce hypoglycemia-related emergency department visits and inpatient hospitalizations among Medicare beneficiaries with diabetes.

The following A1C Testing Recommendations are being promoted by the policies:


• Perform the A1C test at least two times a year in patients who are meeting treatment goals (and who have stable glycemic control). E*

• Perform the A1C test quarterly in patients whose therapy has changed or who are not meeting glycemic goals. E*

• Point-of-care testing for A1C provides the opportunity for more timely treatment changes. E*

E* = Expert Consensus

Along with the above “A1C Testing Recommendations”, the ADA Standards for Medical Care in Diabetes 2016 also contain information for special populations at increased risk for adverse drug events (ADE) like hypoglycemia (see especially Position Statement 10 Older Adults). Please share this information with your colleagues and help reduce common, preventable adverse events like those described by Geller et al. Together we can make difference.


One Response to Reducing Adverse Drug Events via Care Coordination: Home Health Plans of Care

  1. Bud Langham says:

    Greatly appreciate the efforts of PGBA to promote evidence based care in the home.

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