Association of Diabetes Care & Education Specialists

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Telehealth & COVID-19: Understanding the 1135 Waiver from CMS

In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) released an emergency 1135 waiver, dramatically changing how beneficiaries and healthcare professionals can utilize telehealth. CMS continues to issue updates to this waiver, broadening and clarifying what healthcare professionals can bill for and how they can best serve clients. Below are resources and guidance to help you understand the 1135 waiver and how it affects your practice. 




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Telehealth & DSMT: Answers to Commonly Asked Questions During the 1135 Emergency Waiver *updated 8/11/20* 

Under the current 1135 telehealth waiver, find out:

  • who can currently bill for DSMT via telehealth
  • how to report DSMT furnished by phone or telehealth 
  • what other services are impacted and so much more

How do we bill for telehealth DSMES services under the current 1135 waiver? 



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Recorded Webinars

Access the latest information on COVID-19 telehealth regulations, including the update that RNs and pharmacists can now furnish DSMT within accredited/recognized DSMT programs. 



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The Huddle is available on all major podcast platforms including Apple PodcastsGoogle PodcastsSpotify and Stitcher. Listen to previous episodes of The Huddle

COVID19 & Telehealth: Your CMS Questions Answered

Episode Summary

The Centers for Medicare & Medicaid Services (CMS) 1135 emergency waiver and recently passed CARES Act have changed the telehealth landscape. Join ADCES staff as they discuss what these changes mean for your practice and answer your questions on the latest updates released on April 30, 2020.

Telehealth & DSMT: Answers to Commonly Asked Questions During the 1135 Emergency Waiver

Q&A: May 5, 2020 - UB04 Billing Form, DSMT telehealth providers (RNs and other settings)

For additional information on COVID-19, visit DiabetesEducator.org/COVID-19.

For additional information on Telehealth, visit DiabetesEducator.org/Telehealth.

Virtual Support Groups: Building Community & Online Support for DSMES

Episode Summary

Creating an online community for your clients offers valuable ongoing support that expands beyond the confines of traditional office settings and timetables. Diabetes care and education specialist Debra Hull joins us to share her experience and recommendations for anyone on the diabetes care team looking to quickly set up a successful virtual support group.  

Learn more about the value of peer support at DiabetesEducator.org/PeerSupport

Learn more about telehealth and virtual platforms at DiabetesEducator.org/Telehealth.

COVID-19 & The National Diabetes Prevention Program: What You Need To Know

Episode Summary

ADCES Senior Manager of Prevention Angela Forfia joins us to discuss how the COVID-19 pandemic is changing diabetes prevention program operations and service delivery. Angela will walk us through the latest CDC guidance for programs and what options you and your clients have available. For more information, checkout the latest guidance in this blog post from Angela Forfia. 

Telehealth & CMS Coverage During COVID-19: An Update from Capitol Hill

Episode Summary

The CARES Act and the CMS Medicaid section 1135 waivers have drastically changed the telehealth landscape, but what does that mean for your clients and practice? ADCES Director of Advocacy Kate Thomas provides a legislative update from Congress, answers your questions around CMS coverage, and shares what ADCES is doing to advocate for you and your clients. 

Share Your Story: Urge CMS to allow RNs and pharmacists to facilitate DSMT services via telehealth during the COVID-19 pandemic in the ADCES Legislative Action Center .

Telehealth During the COVID-19 Pandemic: What You Need to Know (Part 1)

EPISODE SUMMARY

The COVID-19 pandemic has pushed telehealth to the forefront of care. Thanks to the recent changes to telehealth by CMS, many are now able to reimburse for these services, but who exactly can bill? What can you do to prepare your clients? In this episode, ADCES Director of Diabetes Education and Prevention Programs Sacha Uelman walk us through telehealth and what it means in the age of COVID-19.

Telehealth During the COVID-19 Pandemic: What You Need to Know (Part 2)

EPISODE SUMMARY

Many working in diabetes care have questions on what latest changes to telehealth by CMS means for their practice. Get answers to some of the most common questions in this episode with ADCES Director of Diabetes Education and Prevention Programs Sacha Uelman.**UPDATE: Referring providers can now request 1:1 in the referral order and indicate “Covid-19 risk” as the special need and “telehealth” if indicated.

 


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Referral Order Sample - note referring providers can request 1:1 in the referral order and indicate “COVID-19 risk” as the special need and “telehealth” if indicated. 

Centers for Medicare & Medicaid Services (CMS) Toolkit - additional information on telehealth and guidance by target population and care setting. 

Medicare Fact Sheets & Guides 

State Medicaid and CHIP Telehealth Toolkit - policy considerations for states expanding use of telehealth during the COVID-19 pandemic

HIPAA Information

Information on Medicare Administrative Contractors (MACs)

Glooko offers secure, privacy-protected Glooko remote-care solution free of charge to medical clinics until the “greatest threat from the COVID-19 pandemic has subsided.” 


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