How do I know if my patient is eligible for DSME?
Many patients are eligible in Ohio. Review these criteria.
The 2023 American Diabetes Association Standards of Care for Diabetes recommend all patients with a clinical diagnosis of diabetes be assessed and referred for DSME.
Review 2023 American Diabetes Association Standards of Care for Diabetes >
The Ohio Revised Code also provides guidance on which patients are eligible to bill for diabetes self-management courses. According to the code, payment for diabetes self-management training can be made if the following criteria are met:
- The individual has a current diagnosis for diabetes.
- The individual has not previously received diabetes self-management training.
- Training is provided in a setting other than an inpatient hospital or an emergency department.