Okla. Admin. Code § 317:30-5-1081
Current through Vol. 42, No. 4, November 1, 2024
Section 317:30-5-1081 - Eligible providers and requirements(a) In order to receive Medicaid reimbursement for DSMES services, providers or provider groups must:(1) Be working under an accredited DSMES program that meets the quality standards of one (1) of the following accreditation organizations: (2) Be fully contracted with SoonerCare as a "diabetes educator". Eligible DSMES providers include: (A) A registered dietician (RD) who is: (i) Licensed and in good standing in the state in which s/he practices.(ii) Has training and experience pertinent to diabetes self-management education and support verified by the OHCA Pharmacy Services unit.(B) A registered nurse (RN) who is: (i) Licensed and in good standing in the state in which s/he practices.(ii) Has training and experience pertinent to diabetes self-management education and support verified by the OHCA Pharmacy Services unit.(C) A pharmacist who is: (i) Licensed and in good standing in the state in which s/he practices.(ii) Has training and experience pertinent to diabetes self-management education and support verified by the OHCA Pharmacy Services unit.(D) A health care provider, as defined in Section 3090.2 of Title 63 of the Oklahoma Statutes, who holds a certification as a: (b) All DSMES programs must adhere to the national standards for diabetes self-management education. (1) Each DSMES program must include at least one (1) of the eligible providers listed above in OAC 317:30-5-1081(a) (2) (A) B (D).(2) All members of the instructional team must complete the nationally recommended annual continuing education hours for diabetes management.Okla. Admin. Code § 317:30-5-1081
Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/14/2020Amended by Oklahoma Register, Volume 38, Issue 17, May 17, 2021, eff. 4/14/2021Amended by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/12/2022