Applying for Accreditation
We offer a simplified and streamlined application process that meets the highest quality requirements set forward by the Centers for Medicare & Medicaid Services. In addition, we now offer one complimentary membership to all new and renewing programs.
Getting Started and Applying for Accreditation
To begin, review the following:
- Inital Application Instructions
- National Standards, Essential Elements and Interpretive Guidance
- Paper Accreditation Application
- Online Accreditation Application
- Checklist for Supporting Documents
- Additional Site Considerations
- FAQs
- Site Description
Samples for your reference: Please review these samples to help guide you as you put your application together.
- Standard 1 - Mission Statement/Goals, Organizational Chart/Structure, Policies, and Job Descriptions
- Standard 2 - Advisory Group
- Standard 3 - Target Population
- Standard 5 - Sample Mechanism to Ensure Patient's Needs are Met
- Standard 7 - Individual Assessment, Education Plan
- Standard 7 - Checklist for De-Identified Patient Chart
- Standard 8 - Follow-up Plan
- Standard 8 - Example Follow-Up Plan for Adults
- Standard 8 - Example Personalized Plan for Ongoing Diabetes Self Care
- Standard 8 - Example of Ongoing Self-Management Support
- Standard 9 - Performance Measurement Plan
- Standard 9 - Second Example, Performance Measurement Plan
- Standard 10 - CQI Plan
- Standard 10 - Second Example, CQI Plan
Does your program meet the standards for accreditation? If so, complete the application and submit it to AADE with all required/requested documentation and fee (non-refundable).
Once your complete application is submitted and reviewed, you will be contacted within 2-6 weeks to set up a phone interview or a site audit.
DSMT Reimbursement Tips
The accreditation process through AADE is essential to obtain
Medicare reimbursement for DSMT. However, it is a separate process and does not guarantee
Medicare payment. In addition to the accreditation process, a DSMT program should do the
following:
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Sponsoring organization must have an NPI number as well as be enrolled as a Medicare provider for services other than DSMT
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NPI application forms: https://nppes.cms.hhs.gov or for paper application, call 800-465-3203
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If new to Medicare, need to submit Form 855I to enroll as a Medicare provider (obtain forms through local Medicare Administrative Contractor (MAC)
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DME/Pharmacy providers must also enroll as a Part B provider to bill for DSMT services
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Must submit notice of AADE accreditation to local Medicare Administrative Contractor (MAC)
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Confirm that the HCPCS codes for billing DSMT are loaded in billing system (G0108 and G0109)
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Submit accreditation notice to contracted commercial payers and verify that DSMT codes G0108 and G0109 are included in contract.
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If off-site locations are added to accredited program, follow process and recommended steps included on AADE website.
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Consider purchasing reimbursement resources such as AADE’s “ Navigating the Maze: Overcoming the Obstacles to Reimbursement for Diabetes Self-management”
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Members of AADE can seek additional information from the AADE “ Reimbursement Expert” located in our Member Center. Please review the FAQs first because your question may have already been answered.
Questions? Email us at DEAP@aadenet.org or call 800.338.3633.