Key points
- The Centers for Medicare & Medicaid Services (CMS) provides reimbursement for Medicare beneficiaries for diabetes self-management training (DSMT) under certain conditions.
- Access CMS resources to ensure DSMT services can be reimbursed.
CMS resources for DSMT
Reimbursement guidelines change often. The following CMS resources contain the latest information about Medicare reimbursement for DSMT.
- DSMT Accreditation Program
- Medicare Preventive Services
- Medicare Benefit Policy Manual, Chapter 15 – Covered Medical and Other Health Services (Rev. 11905, 03-16-23)
- Medicare Claims Processing Manual, Chapter 12 – Physicians/Nonphysician Practitioners (Rev. 11828, 02-02-23)
- MLN Matters Number: MM3185 Diabetes Self-Management Training Services
- CMS Manual System, Pub 100-20 One-Time Notification, Transmittal 1755
- Medicare Claims Processing Manual, Chapter 18 – Preventive and Screening Services (Rev. 11902, 03-16-23)
- CMS Manual System, Pub 100-02 Medicare Benefit Policy, Transmittal 109
- MLN Matters® Number: MM6510, Diabetes Self-Management Training (DSMT) Certified Diabetic Educator
- Program Memorandum, CMS, Transmittal AB-02-151, Oct. 25, 2002, Clarification Regarding Non-physician Practitioners Billing on Behalf of a Diabetes Outpatient Self-Management Training Services (DSMT) Program and the Common Working File Edits for DSMT & Medical Nutrition Therapy (MNT)
Additional resources
Visit the new DSMT Accreditation Program webpage for information on the certification process and accrediting organizations.
For questions or concerns, providers, patients, accrediting organizations, and stakeholders can contact the new CMS helpdesk: DSMTAccreditations@cms.hhs.gov.
Learn what Medicare reimbursement rates for DSMT are in your area.
For detailed information about Medicare reimbursement eligibility and guidelines, visit the Medicare reimbursement guidelines page.