Diabetes Programs & Benefits
DSMES
Diabetes Self-Management Education and Support
DPP
National Diabetes Prevention Program
Devices
Devices and Supplies
for Diabetes
Diabetes Self-Management Education and Support (DSMES)
What is DSMES and how will this program help me?
Diabetes Self-Management Education and Support (DSMES) services help people with diabetes learn how to take the best care of themselves. Ask your doctor for a referral to DSMES services to help you manage your diabetes.
When you learn that you have diabetes, your first question might be, “What can I eat?” DSMES will answer this question and many others. Your first step should be asking your doctor to refer you for DSMES. DSMES services include a health care team who will teach you how to stay healthy and how to make what you learn a regular part of your life.
With DSMES services, you can understand how to take care of yourself and learn the skills to:
- Eat healthy.
- Be active.
- Check your blood sugar (glucose).
- Take your medicine.
- Solve problems.
- Cope with the emotional side of diabetes.
- Reduce your risk of other health problems.
DSMES Services Benefit
Adults and children/adolescents covered under SoonerCare may receive up to ten (10) hours of training that provides the member with the knowledge, skill and ability necessary for diabetes self-care. Services must be ordered by a physician or qualified non-physician provider who is actively managing the member’s diabetes. Click here to learn more.
Documents
Links
Diabetes Prevention Program (DPP) - Coming in FY26
What is the National Diabetes Prevention Program and how can it help me?
This CDC-recognized lifestyle change program is a structured program—in person or online—developed specifically to prevent type 2 diabetes and is designed for people who have prediabetes or are at risk for type 2 diabetes, but who do not already have diabetes. A trained Lifestyle Coach leads the program to help you change certain aspects of your lifestyle, like eating healthier, reducing stress, and getting more physical activity. The program also includes group support from others who share your goals and struggles.
This lifestyle change program is not a fad diet, an exercise class or a quick fix. It is a year-long program focused on long-term changes and lasting results by learning new habits, gaining new skills and building confidence. As you begin to eat better and become more active, you’ll notice changes in how you feel and maybe even in how you look. (More to come on this program and benefits when it starts).
Devices and Supplies for Diabetes
SoonerCare covers FDA-approved continuous glucose monitors and supplies Members must meet certain medical requirements.
A continuous glucose monitor (CGM) is a small device that tracks your blood sugar level. It sends readings automatically to a phone or reader every few minutes. You can get glucose levels in real time without constant fingerstick tests. Ultimately, they give you a greater ability to manage and control your diabetes.
Do you have a diabetes diagnosis and use insulin? Then you qualify for CGM coverage under SoonerCare. Children and young adults under 21 may also qualify if they have a history of low blood sugar. A SoonerCare provider can help determine whether an individual meets these criteria.
*There is no copay required for SoonerCare members. GCMs do not count against your monthly prescription limit.
Throughout this process, many sources of support are available:
- Providers can assist with renewals and documentation.
- Pharmacies can help with supplies.
- SoonerCare offers a variety of care coordination services for members.
- Diabetes educators can provide hands-on training. They can help you understand glucose readings through a Diabetes Self-Management and Education Program.
- Tribal health programs or community health centers may offer diabetes education and coaching.
CGMs are more than medical devices. They are tools that support greater independence, health and peace of mind. They also help make daily life safer, more predictable and less stressful.
Preferred blood glucose testing supplies and CGM products can be found below.
Have eligibility questions or need more information?
Call the SoonerCare helpline at 800-987-7767.
