5.9.2 Qualifications

Diabetes self-management education services are provided by a service provider who instructs and counsels the consumer and family through individual and/or group skills training.


Education and Experience Requirement

A service provider is a health professional, who:

  • is licensed or registered, as required by his or her profession;
  • has completed basic academic requirements for his or her field; and
  • has practiced for at least one year.

A service provider for consumers must be a registered nurse (RN), registered dietician (RD), or certified diabetes educator (CDE). For RNs and RDs, DARS Contract Oversight and Support (COS) unit keeps a copy of the service provider's active license on file. For a CDE, COS keeps a copy of the service provider's current certification from the National Certification Board for Diabetes Education (NCBDE) or the American Association of Diabetes Educators (AADE) on file.

Through academic preparation, continuing education, or on-the-job training, the service provider will have developed:

  • a knowledge and understanding of diabetes and its management, including the nutritional and pharmaceutical aspects of care;
  • a knowledge and understanding of basic educational and behavioral science;
  • the additional skills necessary to work in a thorough and efficient manner, such as planning, organizing, communicating, cooperating, delegating, and working without direct supervision; and
  • a knowledge of the Texas Confidence Builders philosophy.

A service provider (CDE, RN, or RD) must have at least one year of paid experience providing diabetes education. RNs and RDs must have completed 15 hours of continuing education units (CEUs) on diabetes from an accredited agency within 12 months of the application date. A CDE must have completed 10 hours of CEUs on diabetes from an accredited agency within 12 months of the application date. The CEUs must be from an agency approved by the service provider's licensing or certifying body.

The service provider must send a copy documenting the CEUs to the diabetes program specialist (DPS).

The specialist:

  • retains a copy in the specialist's file; and
  • forwards a copy to the regional program support specialist (RPSS).


Technical Skills Requirement

A service provider must:

  • be able to assess a consumer's educational needs and clinical status;
  • offer group instruction and public speaking skills;
  • offer interactive teaching techniques for individuals and groups;
  • be able to communicate technical medical information at a level appropriate for the learner;
  • be able to create a positive and accepting learning environment;
  • be able to relate positively to all consumers;
  • believe in the capabilities and independence of people with disabilities;
  • have good verbal and written communication skills;
  • have basic computer skills, including word processing; and
  • have a private email address, which will not be given to non-approved staff members.

To determine a potential service provider's knowledge about diabetes and behavioral change, a diabetes program specialist may interview the potential provider during the initial contracting process and/or ask him or her to take a skills test.


Training Requirement

Before providing services to consumers, the service provider must either:

  • attend a Texas Confidence Builders training session conducted by the diabetes program specialist; or
  • attend an approved mini-training session, followed by the next available Texas Confidence Builders training.

Veteran service providers must attend Texas Confidence Builders training at least every two years.

Texas Conference Builder training is a 14-hour training led by the diabetes program specialist. The training iincludes a two-hour blindfold experience. The service provider is expected to attend the entire training. Exceptions must be approved by the diabetes program specialist in writing before the training begins.

At the discretion of the diabetes program specialist, service providers may also be required to attend additional periodic training seminars.

If travel is necessary in order to attend the required training, the service provider is responsible for paying all travel costs including transportation, food, and lodging.