ADA-Aligned CGM/AID Auto-Approval Pack for Health Plans

A prior-authorization module for health plans that automatically approves CGM and automated insulin delivery requests when submitted chart evidence matches the ADA's current Diabetes Technology criteria, routing only non-matching cases to manual review with the missing attribute flagged back to the provider. Eliminating unnecessary prior authorization is a recognized way to reduce barriers to care, and the ADA's annually updated, evidence-graded Standards give the rules a defensible, current basis. Because automated clinical tools have underdelivered when deployed without rigorous testing, the pack now ships with a mandatory validation phase and ongoing false-negative monitoring before live auto-approval is enabled.