641—9.6(135) Application procedures for programs not recognized by the American Diabetes Association or accredited by the American Association of Diabetes Educators.
	9.6(1) Each program shall apply for certification with the department.
	9.6(2) Applications from programs not recognized by ADA or accredited by AADE shall provide the following information:
	a. 	Name, address and telephone number for the program, program physician and program coordinator. The names of instructional staff and advisory committee members and copies of their current Iowa licenses shall also be included.
	b. 	Identification of the target population, an estimate of the program caseload, estimated number of programs to be conducted annually, minimum and maximum class size, and a calendar identifying the hours per day and number of days per week scheduled in individual or group instruction to meet the minimum course requirements.
	c. 	A description of goals and objectives, participant referral mechanism, and means of coordinating between the community, physicians, and program staff.
	d. 	Evaluation methods designed by individual programs and samples of documents to be used.
	e. 	A description of the curriculum designed to instruct the participant with diabetes how to achieve self-management competency. The curriculum shall cover the same content areas as are required by the ADA for recognition or the AADE for accreditation including:
	(1)	Diabetes overview: includes content about the diabetes disease process, pathophysiology and treatment/management options.
	(2)	Stress and psychological adjustment: includes developing personal strategies to address psychological issues, healthy coping, and problem solving.
	(3)	Family involvement and social support: includes strategies for safety and risk reduction and creating healthy environments and social supports.
	(4)	Nutrition: includes incorporating nutritional management (healthy eating) into lifestyle.
	(5)	Exercise and activity: includes incorporating physical activity (being active) into lifestyle.
	(6)	Medications: includes using medications safely and for maximum therapeutic benefit.
	(7)	Monitoring and use of results: includes monitoring blood glucose and other health indicators or parameters and interpreting and using the results for self-management decision making.
	(8)	Reducing risks: includes prevention, detection, and treatment of acute complications and chronic complications; foot, skin and dental care; immunizations; and kidney function.
	(9)	Behavior change strategies, goal setting, risk-factor reduction, and problem solving: includes personal goals and strategies to address risks and build positive habits.
	(10)	Preconception care, pregnancy, and gestational diabetes.
	(11)	Use of health care systems and community resources.
[ARC 9249B, IAB 12/1/10, effective 1/5/11; ARC 4074C, IAB 10/10/18, effective 11/14/18]