What determines the maximum number of glucose test strips that may be reimbursed in a year?

The maximum number of glucose test strips that may be reimbursed in a year is primarily determined by the recipient's diabetes history. This is because reimbursement policies are often designed to consider the individual's specific medical needs and the management of their diabetes condition. A patient's diabetes history reflects how often they need to monitor their blood glucose levels, which can vary significantly based on factors such as their type of diabetes, treatment plan, presence of complications, and physician recommendations.

For example, individuals with unstable blood glucose levels or those on intensive insulin therapy may require more frequent testing compared to others who manage their diabetes more effectively with oral medications or lifestyle changes. As such, the reimbursement guidelines are tailored to ensure that patients receive an adequate supply of test strips based on their clinical requirements rather than general factors such as age, diet adherence, or the specific diabetes medications they may be using.