AASM Advocates for Medicaid Home Sleep Apnea Test Coverage

“State Medicaid coverage for home testing varies widely by state and by policy within each state. This has resulted in avoidable barriers to OSA care for the very patients who would benefit the most, thereby exacerbating disparities in OSA care, while unnecessarily increasing costs and wasting resources given the substantially higher cost and burden of PSG versus HSAT. We are, therefore, requesting CMCS establish policies at a national level that would allow coverage of HSAT for the diagnosis of OSA. We believe this would lead to net cost savings while simultaneously improving health equity.”

In February, the American Academy of Sleep Medicine (AASM), along with the American Thoracic Society (ATS) and the American College of Chest Physicians (CHEST), submitted a letter to the Centers for Medicare & Medicaid Services (CMS) advocating for home sleep apnea test (HSAT) coverage for Medicaid patients. 

Learn about how adopting HSAT as an alternative diagnostic test for obstructive sleep apnea (OSA) in Medicaid beneficiaries would help address disparities in access to care, particularly among racial and ethnic minorities and rural populations, in the tri-society letter HERE. 

If you are a member of AASM, you can send questions to

The Association of Pulmonary Advanced Practice Providers (APAPP) works to advance the profession of APPs in Pulmonary and Sleep Medicine. We actively seek out opportunities from trusted organizations like AASM to help educate our members on news in our field. 

See the full article from the American Academy of Sleep Medicine (AASM) HERE.

Author

This post was published by The APAPP staff on behalf of the author(s) – listed above.