Okla. Admin. Code § 310:590-3-4

Current through Vol. 42, No. 4, November 1, 2024

Section 310:590-3-4 - Diabetes self-management training

(a) When deemed medically necessary and prescribed by a physician or health care provider with prescribing authority working under the supervision of a physician diabetes self-management training shall be covered by individual and group health insurance policies as defined by statute.

(b) The diabetes self-management training process shall comply with the standards as defined in this chapter and documentation shall be issued upon successful completion of the training by the licensed health care provider/diabetes educator.

(c) Individual and group insurance policies as defined by statute shall provide coverage for medical nutrition therapy relating to diet, caloric intake, and diabetes management, but shall exclude programs whose only purpose is weight reduction.

(d) The diabetes self-management training process may be conducted, but not limited to settings such as in-patient, out-patient, office, community, or home and as individual or group sessions.

(e) Diabetes self-management training visits shall include, but not limited to:

(1) the diagnosis of diabetes;

(2) a significant change in the patient's diabetes symptoms or condition; or

(3) re-education or refresher training.

Okla. Admin. Code § 310:590-3-4

Added at 14 Ok Reg 943, eff 1-8-97 through 7-14-97 (emergency); Added at 14 Ok Reg 3140, eff 7-25-97