16 Tex. Admin. Code § 116.142 - Licensed Dietitians Providing Diabetes Self-Management Training
(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.
Notes
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