Diabetes Self-management Training

(A) Introduction. MassHealth members are eligible to receive diabetes self-management training (DSMT) services described in 130 CMR 405.476(B). See Subchapter 6 of the Community Health Center Manual for service code descriptions and billing requirements. (B) The MassHealth agency pays for DSMT and education, which may include medical nutrition therapy, and are furnished to an individual with pre-diabetes or diabetes. DSMT services are payable when provided to eligible MassHealth members by the following providers: (1) physicians; (2) dietitians/nutritionists licensed by the Massachusetts Division of Professional Licensure, and the Board of Registration of Dietitians and Nutritionists; (3) mid-level practitioners credentialed by the Certification Board for Diabetes Care and Education (CBCDE) (e.g., nurse midwives, nurse practitioners, registered nurses, and physician assistants); or (4) other health care practitioners with specific training in the provision of DSMT as provided in 42 U.S.C. 1395x(qq)(2).