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Integrating chronic disease self-management education (CDSME) with health care is a key factor for scaling and sustaining programs, such as Stanford’s Chronic Disease Self-Management Program (CDSMP) and Diabetes Self-Management Program (DSMP). We have developed a number of resources to help community-based organizations build partnerships with health care systems, form contracts, learn about the requirements for DSMT accreditation, and receive reimbursement for CDSME programs. Take a look at the listing below to find what is most helpful for you.

Frequently Asked Questions

  • DSMT Frequently Asked Questions: See answers to some of the most common questions asked about using Stanford’s DSMP as the core curriculum of an expanded program to meet Diabetes Self-Management Training (DSMT) accreditation standards for Medicare reimbursement.


Tip Sheets

  • DSMT Tip Sheet: Learn to develop and operate DSMT programs that meet CMS guidelines for Medicare reimbursement.
  • How to Work with a Federally Qualified Health Center (FQHC): FQHCs can provide DSMT and Medical Nutritional Therapy services if they are accredited and accepted by CMS. Learn how to partner with one.
  • Tip Sheet: Health Behavior and Assessment Intervention (HBAI) Services: HBAI is a Medicare reimbursable intervention designed to enable the consumer to overcome the perceived barriers to self-management of his/her chronic disease(s). Chronic Disease Self-Management Education (CDSME), when added to the appropriate infrastructure, may be considered HBAI services.
  • Tip Sheet: Medical Nutrition Therapy: The MNT benefit, used to deliver nutrition assessment and counseling to eligible Medicare beneficiaries, can be combined with CDSME programs for reimbursement.  Learn about the process for offering the two Medicare benefits together.

Sample Processes and Agreements

Planning and Administrative Resources


  • ACL DSMT Toolkit: The Administration on Aging developed this toolkit to help AAAs, community planners, and healthcare professionals operate cost-effective, accredited DSMT programs that can meet CMS requirements for Medicare reimbursement.
  • Delmarva DSMT Toolkit: This toolkit for QIOs, FQHCs, healthcare professionals and other key stakeholders explains implementation and reimbursement for accredited DSMT programs that meet CMS guidelines for Medicare reimbursement. The Delmarva Foundation for Medical Care, Disparities National Coordinating Center, under contract with the Centers for Medicare & Medicaid Services (CMS), prepared it.
  • IHS DSMT Toolkit: This toolkit helps IHS staff get prompt Medicare reimbursement for Diabetes Self-Management Training (DSMT) services. It clearly outlines seven steps from becoming a Medicare-recognized diabetes education program to marketing DSMT services and shows how to put these steps into practice.

Participant Forms

Videos for Doctors and Patients