Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 405.000 - Community Health Center Services
Section 405.476 - Diabetes Self-management Training
Universal Citation: 130 MA Code of Regs 130.405
Current through Register 1531, September 27, 2024
(A) Introduction. MassHealth members are eligible to receive diabetes self-management (DSMT) training services described in 130 CMR 405.476(B). See Subchapter 6 of the Community Health Center Manual for service code descriptions and billing requirements.
(B) The MassHealth agency pays for DSMT and education, which may include medical nutrition therapy, and are furnished to an individual with pre-diabetes or diabetes. DSMT services are payable when provided to eligible MassHealth members by the following providers:
(1) physicians;
(2) dietitians/nutritionists licensed by the
Massachusetts Division of Professional Licensure, and the Board of Registration
of Dietitians and Nutritionists;
(3) mid-level practitioners credentialed by
the National Certification Board of Diabetes Educators (NCBDE)
(e.g., nurse-midwives, nurse practitioners, registered nurses,
and physician assistants); or
(4)
other health-care practitioners with specific training in the provision of DSMT
as provided in 42 U.S.C.
1395x(qq)(2).
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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