OSA diagnosis is based on an AHI > 15 or an AHI > 5 to 15 associated with daytime sleepiness, impaired cognition, mood disorders, or insomnia, or documented hypertension, ischemic heart disease, or history of smoking

AHI is based on standard polysomnography or home sleep testing

Home sleep testing must only be performed by a physician with board certification in sleep medicine or a physician who is an active staff member of a sleep laboratory or clinic accredited by the American Academy of Sleep Medicine or the Joint Commission

CPAP is initially limited to a 12-week period, with coverage extended for persons whose symptoms improve based on follow-up physician re-evaluation and with objective evidence of CPAP utilization