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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 310. Oklahoma State Department of Health |
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Chapter 590. Diabetes Supplies, Equipment, and Education Covered by Insurance |
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Subchapter 3. Service Provisions |
SECTION 310:590-3-2. Related provider services
Latest version.
- When deemed medically necessary and upon prescription or diagnosis by a physician or health care provider with prescribing authority working under the supervision of a physician, all individual or group health insurance defined by statute and or governed by the Oklahoma Insurance Commissioner or other appropriate statutory state agency as defined by statute shall reimburse/cover the following related provider services:(1) insulin and prescription drugs including oral-glucose lowering agents, antihypertensive and lipid lowering agents and other medications for delaying or preventing both acute and chronic complications;(2) medical nutrition therapy recommendations and instructions by a registered, licensed dietitian;(3) self-glucose monitoring instruction by a licensed, registered health care professional;(4) foot examination annually;(5) annual screening dilated eye examinations by an eye physician for persons with diabetes;(6) glycohemoglobin determination done as frequently as necessary to assess and achieve near normal glycemia;(7) recommendations for appropriate life-style changes including smoking cessation, exercise, and stress management;(8) lipid profile upon diagnosis for adults and annually thereafter. If lipid profile is abnormal and the person with diabetes is on a lipid lowering therapy, a lipid profile shall be done as frequently as necessary to assess and achieve the desired lipid level. Children shall have a lipid profile once glucose control has been established; and(9) screening microalbumin annually.