R414-90-6. Reimbursement Methodology

(1) Medicaid payments for approved DSMT are based on the established Medicaid fee schedule, unless a DSMT provider bills for a lower amount. (2) Diabetic glucose monitoring is part of the global maternity payment. Providers may not submit additional billing for: (a) an office visit; (b) DSMT; or (c) nutritional medical counseling for diabetic glucose monitoring during a member's pregnancy.