Education Recognition Program

Education Recognition Program

ERP provides the framework for effective delivery of quality diabetes self-management education and support (DSMES) through the National Standards of DSMES. If you are seeking reimbursement for DSMES, it is appropriate to apply for ADA ERP.

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The American Diabetes Association (ADA) endorses the 2022 National Standards for Diabetes Self-Management Education and Support. Less than 25 percent of the 38.4 million Americans with diabetes achieved target levels for glucose, blood pressure, and cholesterol levels. Yet only 5 percent of Medicare beneficiaries take advantage of available diabetes self-management education and support (DSMES) services that could improve their ability to manage their condition.

Since 1986, the American Diabetes Association has been a national accrediting organization (NAO) for DSMES. Over time, 7,000 DSMES services have received our gold standard Education Recognition Program (ERP) designation. 

When to refer to DSMES 

  • At diagnosis or if you have never taken part in a diabetes education program
  • Every year
  • When it’s harder to manage diabetes, such as:
    • Changes in access to food or money
    • When there are emotional factors (e.g. stress or anxiety)
    • When new health issues arise
    • When starting a new medication (e.g. insulin or steroids)
  • During changes in life, such as:
    • Change in living situation (e.g. divorce or death of a family member)
    • Getting new insurance coverage

Evidence links participation of DSMES to positive changes in health behaviors and improved outcomes. These include:

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Improved A1C

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Reduced onset or progression of diabetes complications, including hypoglycemia

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Enhanced quality of life

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Decreased diabetes-related stress

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Improved lifestyle, including healthier meal planning, engagement in physical activity, and weight management

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Fewer ED visits, hospital admissions, and hospital readmissions

Educational & Support Services

ERP University

At ERP University (ERPU), you can choose from a selection of videos that cover each of the 6 National Standards of Diabetes Self- Management Education and Support as well as videos on navigating the ERP Portal and the ERP website. We are committed to helping you find ways to understand and interpret the standards to better serve your unique program/service.


Educational & Support Services

Networking Community

The ERP Networking Community forum provides all Recognized Service staff members the ability to post questions & answers and network with other staff members on a variety of topics.

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Please email or call 1-888-232-0822 to reach an Education Recognition Program staff member.