These providers must present proof to you that they have been billing the Medicare program for outpatient diabetes self-management training prior to July 1, 1998. Once this proof is presented, flag your provider file with an indicator that can be distinguished from a certified provider. The limitation of liability does not apply to this benefit. The beneficiary is liable for payment if a claim is denied because no certification is on file. Beneficiaries should be educated to obtain this service only from an ADA recognized provider.
Funding is available through the regular budget process for costs required for implementation.
Contractors should direct any questions to the appropriate regional office. This Program Memorandum may be discarded after May 31, 1999.