Diabetes self-management training (DSMT) services are a covered benefit under Medicare when all requirements are met. This article will provide an overview of the requirements and provide answers to some commonly asked questions.
It will also provide you with links to the source material for DSMT coverage in the CMS Medicare Benefit Policy Manual (MBPM), the National Coverage Determination (NCD) Manual and the Federal Register so that you can read this information in detail. Check your Medicare Administrative Contractor (MAC) for helpful tools and frequently asked questions which are sometimes easier to follow and digest. You will find links below to a couple of good MAC examples.
What is DSMT?
- This program is intended to educate beneficiaries in the successful self-management of diabetes.
- The program includes instructions in self-monitoring of blood glucose; education about diet and exercise;
- an insulin treatment plan developed specifically for the patient who is insulin-dependent; and
- motivation for patients to use the skills for self-management.
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