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(22) Other Clinical Services - Billing and Reimbursement for Diabetes Self-Management: A Local Persp


Local health departments often provide Diabetes Self-Management Education/Training (DSME/T) classes in their communities, but many do not have reimbursement systems in place to bill for and sustain these important services. This webinar will highlight the North Carolina Diabetes Education Recognition Program and show how billing for DSME/T was set up by Wilkes County Health Department, one of the local health departments involved in the program. The webinar will share resources that local health departments and programs can use for developing reimbursement models, while also addressing how the Affordable Care Act impacts diabetes services.


Speakers include:

Joanne Rinker, MS, RD, CDE, LDN; North Carolina Diabetes Prevention and Control Program

Jason Vahling, MPH; Spark Policy Institute 

Melissa Black, RN, BSN; Wilkes County Health Department (WCHD), NC 

Maggi Birdsell, RD, CDE, LDN; Wilkes County Health Department (WCHD), NC 


Primary Toolkit:

Billing for Clinical Services

Keyword Area:

Billing, Clinical Services


Institutional Author:






The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.