(a) This section implements the Insurance Code, Title
8, Subtitle E, Chapter 1358, §1358.055.
(b) Diabetes self-management training covers the following
training:
(1) training provided to a qualified enrollee after
the initial diagnosis of diabetes in the care and management of that
condition, including nutrition counseling and proper use of diabetes
equipment and supplies;
(2) additional training authorized on the diagnosis
of a physician or other health care practitioner of a significant
change in the qualified enrollee's symptoms or condition that requires
changes in the qualified enrollee's self-management regimen; and
(3) periodic or episodic continuing education training
when prescribed by an appropriate health care practitioner as warranted
by the development of new techniques and treatments for diabetes.
(c) A licensed dietitian who provides diabetes self-management
training as a member of a multi-disciplinary team must meet the following
requirements:
(1) Prior to beginning to provide diabetes self-management
training as member of a multi-disciplinary team under Insurance Code,
Title 8, Subtitle E, Chapter 1358, §1358.055(c)(2), a licensed
dietitian must complete at least six (6) hours of continuing education
in diabetes-specific or diabetes-related topics within the previous
two years.
(2) Thereafter, to remain qualified to continue to
provide such services, a licensed dietitian shall complete at least
six (6) hours of continuing education biennially in diabetes-specific
or diabetes-related topics.
(3) A licensed dietitian who is not a Certified Diabetes
Educator and who is providing diabetes self-management training as
a member of a multi-disciplinary team under Insurance Code, Title
8, Subtitle E, Chapter 1358, §1358.055(c)(2), shall confine the
licensed dietitian's professional services to nutrition education
and/or counseling, lifestyle modifications, the application of self-management
skills, reinforcing diabetes self-management training, and other acts
within the scope of the licensed dietitian's professional education
and training which are conducted under the supervision of the coordinator
of the multi-disciplinary team.
(d) A licensed dietitian who provides the nutrition
component of diabetes self-management training must meet the following
requirements:
(1) Prior to beginning to provide the nutrition component
of diabetes self-management training under Insurance Code, Title 8,
Subtitle E, Chapter 1358, §1358.055(c)(4), a licensed dietitian
must complete at least six (6) hours of continuing education in diabetes-specific
or diabetes-related topics within the previous two years.
(2) Thereafter, to remain qualified to continue to
provide such services, a licensed dietitian shall show proof to the
department completion of at least six (6) hours of continuing education
biennially in diabetes-specific or diabetes-related topics.
(e) The continuing education completed under this section
shall meet the requirements described in Subchapter I, Continuing
Education. The continuing education completed under this section may
be part of the credits required for renewal of a license.
(f) Upon written request by the department, the licensed
dietitian shall submit to the department proof of completion of the
continuing education completed under this section. The licensed dietitian
shall submit the proof of completion in a manner and a timeframe acceptable
to the department.
(g) This section does not apply to a licensed dietitian
who is a diabetes educator certified by the National Certification
Board for Diabetes Educators.
(h) This section does not pertain to or restrict a
licensed dietitian who does not qualify under this section from providing
the nutrition component of diabetes self-management training within
the scope of the license issued by the department, to a person:
(1) who is not a qualified enrollee as defined in the
Insurance Code, Title 8, Subtitle E, Chapter 1358, §1358.051;
(2) who does not intend to seek payment for or reimbursement
for diabetes self-management training; or
(3) without the written order of a licensed physician
or other healthcare practitioner.
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Source Note: The provisions of this §116.142 adopted to be effective October 1, 2016, 41 TexReg 4481; amended to be effective July 1, 2018, 43 TexReg 4173; amended to be effective August 1, 2020, 45 TexReg 5185 |