What does this research mean for the field?

Diabetes self-management education and support (DSMES) utilization among adult Medicaid beneficiaries is extremely low (5.6%) and highly uneven across sociodemographic groups and geographic locations. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate diabetes self-management education and support (DSMES) utilization among Medicaid beneficiaries with diabetes across demographic groups and geographic regions.

September 3, 2026The Diabetes Educator

Medicaid Claims-Based Diabetes Self-Management Education and Support Utilization in Adults With Diabetes: Sociodemographic and Geographic Assessments

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To evaluate diabetes self-management education and support (DSMES) utilization among Medicaid beneficiaries with diabetes across demographic groups and geographic regions.
Pooled cross-sectional study using Transformed Medicaid Statistical Information System Analytic Files from 2016 to 2023.
Analyzed adults aged 19 to 64 years diagnosed with diabetes (N = 3,735,182).
Conducted descriptive and bivariate analyses to examine DSMES utilization by sex, race/ethnicity, rural/urban residence, and county-level Social Vulnerability Index.
Overall, only 5.6% (n = 210,078) of Medicaid beneficiaries with diabetes received at least 1 DSMES encounter, with higher utilization in females (6.2%) and adults aged 19 to 34 years (7.5%).
Utilization varied by race and ethnicity, ranging from 8.9% in non-Hispanic multiracial individuals, 7.5% in Hawaiians/Pacific Islanders, and 6.7% in non-Hispanic Whites down to 4.6% in American Indians/Alaska Natives and 4.4% in Hispanics.
Rates varied from 0.1% to 32.0% across states, reached 8.7% in the lowest Social Vulnerability Index quartile, and were limited by supplier shortages outside major cities.

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Implication

Cross-sectional study finds low diabetes self-management education use among Medicaid enrollees, indicating stark racial and geographic disparities.

Cite This Study

Ng et al. (2026) studied this question.

synapsesocial.com/papers/6a993592636c6408cfa7deea https://doi.org/10.1177/26350106261475942

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Implication

Cross-sectional study finds low diabetes self-management education use among Medicaid enrollees, indicating stark racial and geographic disparities.

Medicaid Claims-Based Diabetes Self-Management Education and Support Utilization in Adults With Diabetes: Sociodemographic and Geographic Assessments

Key Points

Discussion

Implication

Cite This Study

Medicaid Claims-Based Diabetes Self-Management Education and Support Utilization in Adults With Diabetes: Sociodemographic and Geographic Assessments

Key Points

Discussion

Implication

Cite This Study

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