Does Medicare Cover Diabetes Self-Management Training?

If you’ve been diagnosed with diabetes, Medicare Part B will cover diabetes self-management training when prescribed by your doctor. This 10-hour course can teach you ways to better manage your condition and help prevent future complications.

Rachel Christian, writer and researcher for RetireGuide
  • Written by
    Rachel Christian

    Rachel Christian

    Financial Writer and Certified Educator in Personal Finance

    Rachel Christian is a writer and researcher for RetireGuide. She covers annuities, Medicare, life insurance and other important retirement topics. Rachel is a member of the Association for Financial Counseling & Planning Education.

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  • Edited By
    Matt Mauney
    Matt Mauney, Senior Editor for RetireGuide

    Matt Mauney

    Financial Editor

    Matt Mauney is an award-winning journalist, editor, writer and content strategist with more than 15 years of professional experience working for nationally recognized newspapers and digital brands. He has contributed content for,, The Hill and the American Cancer Society, and he was part of the Orlando Sentinel digital staff that was named a Pulitzer Prize finalist in 2017.

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  • Published: March 10, 2021
  • Updated: January 17, 2023
  • 3 min read time
  • This page features 7 Cited Research Articles
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APA Christian, R. (2023, January 17). Does Medicare Cover Diabetes Self-Management Training? Retrieved June 8, 2023, from

MLA Christian, Rachel. "Does Medicare Cover Diabetes Self-Management Training?", 17 Jan 2023,

Chicago Christian, Rachel. "Does Medicare Cover Diabetes Self-Management Training?" Last modified January 17, 2023.

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What Is Diabetes Self-Management Training?

Diabetes self-management training, or DSMT, is a program that helps people manage their diabetes diagnosis to prevent additional complications.

If left untreated, diabetes can cause serious side effects, including kidney disease, eye disease and stroke.

The Balanced Budget Act of 1997 established Medicare coverage for DSMT services in an effort to reduce health care costs and improve health outcomes for diabetes patients.

DSMT classes often take place in a different setting outside your doctor’s office, such as at a hospital, clinic or medical office.

Diabetes self-management training incorporates your specific needs, goals and life experiences into a program guided by evidence-based standards.

A diabetes care and education specialist can help you create a plan to stay healthy while also giving you resources and ongoing support to incorporate that plan into your daily life.

According to the American Diabetes Association, the overall goals of diabetes self-management education are to support informed decision-making, self-care behaviors and facilitate collaboration with a health care team.

DSMT is not the same as medical nutrition therapy, a different service provided by Medicare that features a more intensive, comprehensive nutrition program.

Diabetes self-management training can teach you how to:
  • Use devices like blood glucose meters, insulin pens, pumps and continuous glucose monitoring devices.
  • Incorporate nutritional management into your lifestyle.
  • Find ways to integrate physical activity into your lifestyle.
  • Use medications safely.
  • Prevent, detect and treat acute and chronic complications.
  • Develop coping skills to address the daily challenges of diabetes.
  • Find and access cost-savings programs.

As of 2022, there were 1,614 DSMT programs accredited by the American Association of Diabetic Educators along with an additional 2,119 sites associated with these programs, according to the Centers for Medicare & Medicaid Services.

The Association of Diabetes Care & Education Specialists has a search tool to find a DSMT program near you.
Source: Association of Diabetes Care & Education Specialists

Medicare Coverage of Diabetes Self-Management Training

Medicare Part B covers outpatient diabetes self-management training if you’ve been diagnosed with diabetes.

You must have a written note from your doctor or qualified practitioner to start your self-care training.

DSMT programs must be accredited as meeting quality standards by a CMS-approved national accreditation organization.

Medicare’s coverage of DSMT includes:
  • Up to 10 hours of initial DSMT, including one hour of individual training and nine hours of group training.
  • Up to two hours of follow-up training each year if it takes place the year following your initial training.

Group training may be substituted for individual training if group sessions aren’t available in your area, or if your doctor says you have special needs that would benefit from individual training sessions.

You may also be able to get DSMT from a practitioner as a telehealth service.

Cost of Diabetes Self-Management Training with Medicare

Medicare doesn’t consider DSMT a free preventive service because it helps you better manage a current condition.

Therefore, you will likely have some out-of-pocket cost if your doctor recommends DSMT.

You’ll pay 20 percent of the Medicare-approved cost, and the Part B deductible applies. You may owe less if you have secondary health insurance coverage, such as Medicaid.

Last Modified: January 17, 2023

7 Cited Research Articles

  1. Centers for Medicare & Medicaid. (2022, May 4). Diabetic Self-Management Training (DSMT) Accreditation Program. Retrieved from
  2. Centers for Medicare & Medicaid. (2020, December). Medicare Diabetes Prevention & Diabetes Self-Management Training. Retrieved from
  3. United Healthcare. (2020, February). Diabetes outpatient self-management training (NCD 40.1). Retrieved from
  4. Centers for Disease Control and Prevention. (2020). National Diabetes Statistics Report. Retrieved from
  5. Funnell, M. et al. (2008). National Standards for Diabetes Self-Management Education. Retrieved from
  6. Association of Diabetes Care & Education Specialists. (n.d.). How a Diabetes Care and Education Specialist Can Help You. Retrieved from
  7. (n.d.). Diabetes self-management training. Retrieved from