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Diabetes Convention

The diabetes convention is an agreement between the patient and the Riziv.

Daily rates
For whom?
Approval requests
Billing
Diabetes Convention for Children

In addition to providing extra guidance for a certain group of patients, the diabetes convention also includes a (partial) reimbursement of the material.

What is the goal?

In this agreement, diabetes patients learn to deal with diabetes , its treatment and the necessary diet. In addition to the finger prick test, the option to measure glycemia via sensor measurement has been included since July 1, 2016.

  • Thanks to the new measuring equipment, patients no longer have to take a test to determine their glycemia.
    • They stick a thick, round, gel-like patch (sensor) on their upper arm with a small needle in the middle that goes to the subcutaneous fluid.
    • A measuring device that they hold a few centimeters from the sensor shows the glycemia value together with a trend indicator.
    • The patches last an average of fourteen days .
  • The system is comfortable and offers more options because the trend in the measurements is visible. It has amply proven its accuracy .

You can read the full contents of this agreement here.

Daily rates

  • In the new convention , daily lump sums are invoiced to the VI and no longer monthly lump sums as in the previous convention. Patients are divided into groups A, B or C.
    • Patients from group A do not pay a supplement.
    • Patients from group B pay 2.52 euros per day.
    • Patients from group C pay 3.49 euros per day.
  • The supplements may only be charged to patients in groups B and C if they opted for the new measurement method .
  • If a patient loses the material, he can buy it himself in the conventional center of a hospital at a public price of 59.90 euros.
  • More information about the conditions and reimbursement of sensors for people with diabetes can be found at www.cm.be/sensors-diabetics.

For who is it?

  • The entitled parties for this agreement are all diabetes mellitus patients:
    • with two or more insulin administrations per 24 hours;
    • or one insulin administration in combination with other injectable glucose-lowering agents per 24 hours.
  • The treatment of other diabetics will be taken care of exclusively through the care processes .
  • The convention only applies to people who have a global medical file . Whether a patient belongs to group A, B or C does not matter.
  • The convention only applies to adults (minimum age 16 years).

Requests for approval

The following documents are necessary:

  • statement from the patient with the commitment to follow the prescribed multidisciplinary care program;
  • medical prescription, signed by the responsible doctor or by an endocrino-diabetologist from the diabetes team.

CM's consulting physician gives an approval for a maximum of one year.

All forms can be found on the Riziv website.

Billing

Codes of the daily rates that may be invoiced:

 Finger prick testSensor measurement
Group A788756788771
Group B788793788815
Group C788830788852

Diabetes Convention for Children

The Diabetes Convention for Children came into effect on August 1, 2016 .

It largely follows the principles of the diabetes convention for adults, but has its own provisions for a number of matters (e.g. rates, groups). All information can be found on the Riziv website.