Additional DEAP Resources
Clarification of National Standards for Individual Practitioners
Clarification of National Standards Permitting Qualified RDs, RNs, or Pharmacists to Individually Furnish Diabetes Self-Management Training Services.
What Does Medicare Reimburse for DSME in Your Area?
Search Physician Fee Schedule by state.
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:
ICD (International Classification of Diseases) codes are used by physicians and medical coders to assign
medical diagnoses and report inpatient procedures. The ICD-9 code sets were replaced by ICD-10 code
sets on October 1, 2015.
AADE has policies and procedures relating to the Diabetes Education Accreditation Program. The policies provide specific information that help to clarify aspects of the various requirements and processes relating to such issues as site visits, reaccreditation, appeals and complaints.
AADE accredited programs have access to tools that allow diabetes education programs to track and report their patients' behavior change and clinical indicators.
National Collaboration to Increase Access to Sustainable Diabetes Self-Management Education
DSME is a proven linchpin of diabetes care, but not all people with diabetes have access. In response, the CDC is collaborating with health departments and diabetes organizations to develop a DSME guide titled, Key Drivers.
This tool identifies four key drivers:
- DSME programs;
- Payers and payment mechanisms;
- Referral policies and practices/health care systems;
- People with diabetes willing to attend DSME programs.
Diabetes State Burden Toolkit
Use this tool from the CDC to report on the health, economic, and mortality burden of diabetes in your state.
Diabetes Education Curriculum: Guiding Patients to Successful Self-Management
Based upon the AADE7 Self-Care Behaviors framework, the curriculum supports diabetes educators in their efforts to help people with diabetes and related conditions learn to make daily decisions about self-care that will have a positive impact on their clinical outcomes and overall health status.
Download the Physician Referral Form:
The Diabetes Services Order Form is available in an electronic format.
Confused by a term? Review our glossary of accreditation terms.