Current through P.L. 171-2024
Section 27-8-14.5-6 - Coverage for diabetes self-management training(a) A health insurance plan issued by an insurer must provide coverage for diabetes self-management training that is:(2) ordered in writing by a physician licensed under IC 25-22.5, a podiatrist licensed under IC 25-29, an advanced practice registered nurse licensed under IC 25-23, or a physician assistant licensed under IC 25-27.5; and(3) provided by a health care professional who:(A) is licensed, registered, or certified under IC 25; and(B) has specialized training in the management of diabetes.(b) Coverage for diabetes self-management training may be limited to the following: (1) One (1) or more visits after receiving a diagnosis of diabetes.(2) One (1) or more visits after receiving a diagnosis by a physician licensed under IC 25-22.5 or a podiatrist licensed under IC 25-29 that: (A) represents a significant change in the insured's symptoms or condition; and(B) makes changes in the insured's self-management medically necessary.(3) One (1) or more visits for reeducation or refresher training.(c) Coverage for diabetes self-management training is subject to the requirements of the health insurance plan regarding the use of participating providers.Amended by P.L. 143-2022,SEC. 74, eff. 7/1/2022.As added by P.L. 190-1997, SEC.1.