The American Medical Association (AMA) and Wisconsin Medical Society (WisMed) are collaborating to share that Wisconsin Medicaid has expanded its coverage benefits to include home blood pressure devices and reimbursement for self-measured blood pressure (SMBP) clinical support.
AMA and WisMed developed guidance to assist physicians and care teams in ordering SMBP and validated blood pressure devices for their patients.
Access the resources below to understand the policy updates, the reimbursement available for physicians to provide SMBP clinical services, and the process for ordering blood pressure devices through the Durable Medical Equipment (DME) benefit.
How to prescribe SMBP to Wisconsin Medicaid patients
Step-by-step guidance to determine patient eligibility, documentation and prior authorization requirements, and tips for implementing an effective SMBP program.
Download the step-by-step guide (PDF).
Wisconsin Medicaid reference materials
Reference the Wisconsin Medicaid Policies and Procedures manual along with other resources regarding SMBP and blood pressure devices for patients with Wisconsin Medicaid.
- ForwardHealth Changes to Blood Pressure Monitoring Equipment Requirement no. 2025-21 (PDF)
- ForwardHealth Medical Records Policy Relating to DME Dispensing
- Pharmacy Society of Wisconsin SMBP Education & Billing Guide (PDF)
