Provincial Clinical Projects, Standards, and Guidelines

Advanced Glucose Monitors

Manitoba Pharmacare has extended coverage for advanced glucose monitors (AGMs) to all adults with Type 1 or Type 2 Diabetes and who meet the established clinical criteria.

The Exception Drug Status Request Pre-Approval Form is no longer required when prescribing AGMs to eligible patients.

Who is eligible for the AGM program?
Individuals with Type 1 or Type 2 diabetes requiring the use of insulin and who meet the eligibility criteria are eligible for an AGM through the Pharmacare Program.

What types of AGM are included?
Continuous Glucose Monitors (CGM) and Flash Glucose Monitors (FGM) are covered for all eligible Manitobans.

What is the process for a patient obtaining an AGM device?
With the removal of the previously required pre-approval, patients who meet the eligibility criteria may be provided a prescription for an AGM. Once a patient has a prescription, they can obtain an AGM device from an approved vendor or through a pharmacy of their choosing. Patients who choose to purchase through a device vendor directly can submit their receipt for reimbursement and/or have it applied toward their Pharmacare deductible. 

Resources for Providers

• Clinical Memo
• Information for Pharmacists – Claims Submission Procedures AGMs
• Provider FAQs
• Link to pharmacare
• Link to patient page

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Manitoba Adult Insulin Pump Program (MAIPP)

Manitoba Health has expanded coverage for eligible Manitobans with Type 1 Diabetes who are 18 years of age and older to access Insulin Pumps.

Patients will require pre-approval from an endocrinologist or Diabetes Specialist before ordering/accessing an insulin pump. Insulin pump therapy may not be appropriate for all patients.

For more information about MAIPP, please email insulinpumpprogram@sharedhealthmb.ca.

Please see our Frequently Asked Questions for full information about this program.

What pumps are eligible for the program?

The insulin pumps eligible for reimbursement through this program are listed here.

More information on these pumps can be found on the suppliers’ website:

• Omnipod®
• Tandem Diabetes Care
• Medtronic
• Ypsomed Selfcare Solutions

How do I become a Diabetes Specialist?

Diabetes specialists are defined in the Shared Health Prescribing Standards for Continuous Subcutaneous Insulin Infusion (Insulin Pump) Therapy for Adult Patients with Type 1 Diabetes

Additional information on becoming a diabetes specialist will be shared soon.

How do I receive Pump Training Competency as a Certified Diabetes Educator?

Information on receiving Pump Training Competency as a Certified Diabetes Educator is coming soon.

How do I refer a patient to the Manitoba Adult Insulin Pump Program?

Requests can be submitted using the Manitoba Adult Insulin Pump Program Patient Referral Form, which can be found in the Manitoba Forms Repository of your Manitoba Certified EMR.

Resources for providers

• Provincial Clinical Practice Change: Revised Provincial Clinical Guideline for Prescribing Insulin Pumps (August 24, 2023)
• Prescribing Guideline for Continuous Subcutaneous Insulin Infusion (Insulin Pump) Therapy for Adult Patients with Type 1 Diabetes (August 24, 2023)
• Clinical Memo: Expanded Coverage of Insulin Pumps and Advanced Glucose Monitors (March 16, 2023)
• Guidance for Prescribers on Available Insulin Pump Education and Training Streams for Patients
• Insulin Pumps – Patient Information
• Manitoba Adult Insulin Pump Program Patient Referral Form
• MAIPP Provider FAQs
• MAIPP Website
• Patient brochure – When an Insulin Pump may be Beneficial

• Provincial Clinical Communication
• Provincial Clinical Guideline
• Templates Available for Local Adoption
  • Gastrointestinal Endoscopy and Bronchoscopy Decision Making Intra Procedure Record
  • Discharge Instructions for Patient
• The Provincial Procedural Sedation and Analgesia Learning Package can be found on the Learning Management System (LMS)

Intrapartum Care

• Provincial Clinical Communication
• Provincial Clinical Guideline: Fetal Health Surveillance (FHS), Intrapartum
• FHS Implementation Webinar Recording – July 18, 2023

Gastrointestinal (GI) Endoscopic Biopsy

• Provincial Clinical Guideline: Gastrointestinal (GI) Endoscopic Biopsy Guideline

Provincial Endoscopy

• New Provincial Colorectal Cancer Screening Program and FIT Requisition (June 20, 2023)
• Revised Provincial Endoscopy Intake Referral Form (May 10, 2022)
• Endoscopy Intake Referral Form & Fecal Occult Blood Test Requisition (April 19, 2022)
• Endoscopy Intake Referral Forms with Completion Instructions
  • IERHA Endoscopy Intake Referral Form- Adult
  • NRHA Endoscopy Intake Referral Form – Adult
  • PMH Endoscopy Intake Referral Form – Adult
  • SH-SS Endoscopy Intake Referral Form – Adult
  • WRHA/SH Endoscopy Intake Referral Form – Adult

CancerCare Manitoba

CancerCare Manitoba and Shared Health are leading Manitoba’s transition to centralized colorectal cancer screening using the fecal immunochemical test (FIT). FIT will replace the guaiac fecal occult blood test (gFOBT) that is currently in use.

Visit CancerCare Manitoba ColonCheck for resources. For more detailed information on the fecal Immunochemical test (FIT), please call ColonCheck at 204-788-8635.

• Provincial Clinical Notification – Provincial Spine Assessment Clinic – Referrals and Reporting

• Memo – Operating Room (OR) Surgical Case Scheduling Timelines
• Operating Room (OR) Surgical Case Scheduling Timelines

Tobacco Quit Card and Counselling (TQCC) Program

• Tobacco Quit Card and Counselling (TQCC) Program Operating Guideline
• Public TQCC Program webpage | French

Tools for Tobacco Educators

• Mock-up of Quit Card Download Website and Quit Card
• Uploading Quit Card PDF to an Accuro Chart
• Data Collection Tool (also found in regional Electronic Medical Records [EMRs]):
  • Interlake Eastern Regional Health Authority
  • Northern Health Region
  • Prairie Mountain Health
  • Southern Health-Santé Sud
  • Winnipeg Regional Health Authority
• Data Collection Tool Instructions for Clinics on non-regional EMRs
  • Data Collection Tool Information for Clinics on non-RHA EMRs_Accuro
  • Data Collection Tool Information for Clinics on non-RHA EMRs_T,L,M
• Nicotine Replacement Therapy (NRT) Information Guide (for program participants) | French
• Smoking Reduction/Cessation – Medication Dosing Fact Sheet (for health professionals)
• Resources to Stop Smoking | French
• Smokers’ Helpline and Talk Tobacco Referral Form
• TQCC Primary Care Providers Letters – meds request
• TQCC Primary Care Providers Letter – end of program

Information for community pharmacists

• Letter to Manitoba pharmacies
• Frequently asked questions

• Post-Operative Physiotherapy Services | French