title: Diabetes white paper: Defining the delivery of nutrition services in Medicare medical nutrition therapy vs Medicare diabetes self-management training programs.
abstract: Registered dietitians (RDs) have a defined and unique role in care for patients with diabetes that differs depending on whether the service is for medical nutrition therapy (MNT) or part of a diabetes self-management training (DSMT) program (DSMT and diabetes self-management education [DSME] are used interchangeably in this article). The purpose of this article is to describe the current regulatory and practice framework that supports nutrition care under Medicare Part B for people with diabetes. A description of MNT and DSMT provided under Medicare Part B is included. The role of RDs and other health care professionals involved as program instructors in DSMT programs is also addressed. Revisions to the National Standards for Diabetes Self-Management Education are discussed to clarify RDs' involvement in DSME programs.
authors.affiliation: Springfield Diabetes & Endocrine Center, 2501 Chatham Rd, Suite 200, Springfield, IL 62704, USA. adaly1@sbcglobal.net
authors.forename: Anne
authors.initials: A
authors.lastname: Daly
authors.forename: Pam
authors.initials: P
authors.lastname: Michael
authors.forename: Elvira Q
authors.initials: EQ
authors.lastname: Johnson
authors.forename: Carolyn C
authors.initials: CC
authors.lastname: Harrington
authors.forename: Stephanie
authors.initials: S
authors.lastname: Patrick
authors.forename: Tori
authors.initials: T
authors.lastname: Bender
mesh_terms: D003695:Delivery of Health Care; D003920:Diabetes Mellitus / Q000178:diet therapy / Q000628:therapy*; D004046:Dietetics / Q000592:standards*; D019468:Disease Management; D006801:Humans; D016345:Medicare Part B; D044623:Nutrition Therapy / Q000379:methods*; D010353:Patient Education as Topic / Q000379:methods* / Q000592:standards; D017410:Practice Guidelines as Topic; D024382:Professional Role; D011787:Quality of Health Care; D012648:Self Care / Q000379:methods*; D016896:Treatment Outcome; D014481:United States