Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 109 - DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT
Section 317:30-5-1081 - Eligible providers and requirements
Universal Citation: OK Admin Code 317:30-5-1081
Current through Vol. 42, No. 1, September 16, 2024
(a) In order to receive Medicaid reimbursement for DSMES services, providers or provider groups must:
(1) Be working under an accredited DSMES
program that meets the quality standards of one (1) of the following
accreditation organizations:
(A) The ADA;
or
(B) The ADCES.
(2) Be fully contracted with
SoonerCare as a "diabetes educator". Eligible DSMES providers include:
(A) A registered dietician (RD) who is:
(i) Licensed and in good standing in the
state in which s/he practices.
(ii)
Has training and experience pertinent to diabetes self-management education and
support verified by the OHCA Pharmacy Services unit.
(B) A registered nurse (RN) who is:
(i) Licensed and in good standing in the
state in which s/he practices.
(ii)
Has training and experience pertinent to diabetes self-management education and
support verified by the OHCA Pharmacy Services unit.
(C) A pharmacist who is:
(i) Licensed and in good standing in the
state in which s/he practices.
(ii)
Has training and experience pertinent to diabetes self-management education and
support verified by the OHCA Pharmacy Services unit.
(D) A health care provider, as defined in
Section
3090.2 of
Title 63 of the Oklahoma Statutes, who holds a certification as a:
(i) CDCES; or
(ii) BC-ADM.
(b) All DSMES programs must adhere to the national standards for diabetes self-management education.
(1) Each DSMES program must include at least
one (1) of the eligible providers listed above in OAC 317:30-5-1081(a) (2) (A)
B (D).
(2) All members of the
instructional team must complete the nationally recommended annual continuing
education hours for diabetes management.
Disclaimer: These regulations may not be the most recent version. Oklahoma 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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