1. (a) In order to receive Medicaid reimbursement for DSMES services, providers or provider groups must:

   1. (1) Be working under an accredited DSMES program that meets the quality standards of one (1) of the following accreditation organizations:

      1. (A) The ADA; or
      2. (B) The ADCES.

   2. (2) Be fully contracted with SoonerCare as a "diabetes educator". Eligible DSMES providers include:

      1. (A) A registered dietician (RD) who is:

         1. (i) Licensed and in good standing in the state in which s/he practices.
         2. (ii) Has training and experience pertinent to diabetes self-management education and support verified by the OHCA Pharmacy Services unit.

      2. (B) A registered nurse (RN) who is:

         1. (i) Licensed and in good standing in the state in which s/he practices.
         2. (ii) Has training and experience pertinent to diabetes self-management education and support verified by the OHCA Pharmacy Services unit.

      3. (C) A pharmacist who is:

         1. (i) Licensed and in good standing in the state in which s/he practices.
         2. (ii) Has training and experience pertinent to diabetes self-management education and support verified by the OHCA Pharmacy Services unit.

      4. (D) A health care provider, as defined in Section 3090.2 of Title 63 of the Oklahoma Statutes, who holds a certification as a:

         1. (i) CDCES; or
         2. (ii) BC-ADM.

2. (b) All DSMES programs must adhere to the national standards for diabetes self-management education.

   1. (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. (2) All members of the instructional team must complete the nationally recommended annual continuing education hours for diabetes management.

Added at 37 Ok Reg 521, eff 1-6-20 (emergency)

Added at 37 Ok Reg 1543, eff 9-14-20

Amended at 38 Ok Reg 747, eff 4-14-21 (emergency)

Amended at 39 Ok Reg 1493, eff 9-12-22