Diabetes Education Accreditation Program (DEAP)
Obtain diabetes education accreditation, and receive reimbursement for diabetes self-management education and support.
DEAP for DSMES
Accreditation & Reimbursement for DSMES
If you’re a health care professional who sees people with diabetes in your practice setting, supports them by gaining knowledge through continuing education (CE), and provides diabetes care and education services with reimbursement, you can become accredited through the Diabetes Education Accreditation Program (DEAP).
As one of two national accrediting organizations for Medicare, ADCES® offers full support to health care professionals who provide diabetes self-management education and support (DSMES) and want to receive reimbursement for DSMT (diabetes self-management training), the Medicare benefit available to all Medicare beneficiaries with a diagnosis of diabetes.
DSMES Accreditation
DEAP Community Support
When your DSMES program is accredited by ADCES, you’re immersed in a community of peers and experienced staff who will support you throughout your accreditation journey.
A complimentary one-year ADCES membership offering over 30 free
CE/CME, discounts on ADCES products and events, access to free peer-reviewed
practice tools, journals and danatech®,
our free website dedicated entirely to diabetes technology and devices
Accreditation support and resources created by experienced quality
coordinators (QC)
Practical and straightforward guidance, program flexibility and an
online application
Weekly one-on-one office hours with our director of diabetes
education and prevention programs to get answers to your specific questions
Monthly DEAP coffee breaks featuring a live Q&A with other QCs
to hear issues from your peers across the country and get your questions
answered
Complimentary live and on-demand webinars with free CE sharing the
latest in accreditation requirements and clarifying common points of confusion
Direct access to a reimbursement expert for help with
reimbursement for DSMT services
DEAP Standards & Requirements
Initial Application
DEAP Initial Application Toolkit
To help you with the application process, view our detailed DEAP Initial Application & Audit Guide that provides step-by-step guidance on completing and submitting your initial application.
The standard DEAP initial application fee is $1,100 for all types of programs applying for accreditation.
For programs with multiple service locations or virtual delivery, please contact [email protected] for more details on pricing options.
After you start your DEAP initial application in the DEAP Dashboard and pay the application fee, you’ll receive access to additional resources including webinars, guides and technical assistance to support you throughout the diabetes education accreditation and application process. The best time to start your application is:
1. When you’re already delivering DSMES and have most of the documentation ready to submit.
2. When you’re getting started with DSMES and need more support and guidance about the documentation required.
Once you’ve completed and submitted your initial application, you’ll receive an email confirmation, and the DEAP team will review it for completeness and quality.
DEAP Initial Application Instructions Start the DEAP Application Process
After our DEAP team reviews your application, if items are missing or they don’t meet the standard, you’ll receive guidance via email regarding additional documentation or corrections needed. During this time, we may send you requests for more information needed to approve your application. Depending on how complete your application is, the process can take between 3 and 9 weeks.
Once your application has been approved, you’ll receive an invitation to schedule your virtual orientation.
This is a checklist of items that you’re required to submit with your DEAP initial application. You’ll also find additional page links and resources in the DEAP Dashboard when you begin your application.
Find tools and templates to help you meet the documentation requirements for each of the 6 National Standards for DSMES using our interpretive guidance. Use our templates and examples as a guide, but feel free to create your own as long as they meet the standards.
DSMT Reimbursement
Reimbursement for DSMT
Medicare covers up to 10 hours of DSMES (Medicare’s DSMT /
diabetes self-management training benefit) as a once-in-a-lifetime benefit.
Medicare covers up to two hours of DSMT with a new referral every year after
that. Many state Medicaid plans and commercial insurers cover DSMT offered by
accredited programs.
To
receive reimbursement for DSMT services, complete all the steps below.
Be sure the National Provider Identifier (NPI) number approved as a Medicare Part B Supplier used for billing DSMT aligns with the name on your DEAP certificate. To check, search the NPI Registry.
Send a copy of your DEAP certificate to your Medicare Administrative Contractor (MAC). To do this, work with your billing specialist. Learn more about what’s a MAC on the Centers for Medicare & Medicaid Services page.
Train your DSMES team to use the correct billing codes. DSMT Billing Codes: G0108 for individual sessions and G0109 for group sessions. One unit is equal to 30 minutes.
Check with your billing specialist to ensure DSMT claims are getting paid.
Additional Information
If you have questions about reimbursement for DSMT services, find answers to frequently asked questions.
For more information about the Medicare DSMT Referral order, visit our DSMES Referral page.
If you have an accredited DEAP program and need additional support, email us.
Contact DEAP