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State seeks to expand coverage of diabetes services

Gov. Phil Murphy swears in New Jersey Department of Human Services Commissioner Carole Johnson, April 2, 2018.
Gov. Phil Murphy swears in New Jersey Department of Human Services Commissioner Carole Johnson, April 2, 2018. - ()

The New Jersey Department of Human Services is seeking approval to provide coverage of diabetes self-management education, diabetes prevention and medical nutritional therapy for Medicaid beneficiaries in the state.

The DHS estimates that the new coverage will cost $1.8 million in 2018 and $7.3 million in 2019. The request is being made to the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services.

Coverage will only be provided if a diabetes patients is referred to a qualified provider of the three services by a licensed doctor or health care provider, and they can only be provided by professionals certified by the National Certification Board of Diabetes or the American Association of Diabetes Educators.

“These services shall promote optimal metabolic control, prevent and manage complications, and ultimately maximize beneficiary quality of life,” according to a prepared statement by the NJDHS.

Roughly 9.2 percent of adults in the state suffer from diabetes, according to the most recent data from stateofobesity.com, while 24.7 percent suffer from obesity, the most common cause of adult diabetes.

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