MedicaidCoverageMedium impact
Medicaid Expands Coverage for Asthma and Diabetes Self-Management Training and Smoking Cessation Counseling
EmblemHealth·NY · Endocrinology, Pulmonology, Family Medicine +6 more·Provider News
Effective date
Apr 1, 2021
We identified it
Jun 20, 2026
Summary
Medicaid has expanded the list of healthcare providers who can be reimbursed for asthma/diabetes self-management training and smoking cessation counseling. Additional provider types including social workers, therapists, psychologists, nurses, optometrists, and podiatrists can now bill for these services.
Action Required
Immediately: Billing team should verify current provider credentials and update billing systems to allow licensed clinical social workers, licensed master social workers, physical therapists, and occupational therapists to bill for asthma self-management training. Enable clinical psychologists, optometrists, occupational therapists, and podiatrists to bill for diabetes self-management training. Allow registered nurses, clinical psychologists, licensed clinical social workers, licensed master social workers, and licensed practical nurses to bill for smoking cessation counseling. Review the New York State Medicaid Update for specific certification, place of service, and billing requirements.