b. Insulin injections

Insulin injections are specific therapy for diabetes. However, if the individual or a family member has been taught to give the injection it is not considered reasonable and necessary to the treatment of the individual's illness to have a nurse administer such injections. If the patient is mentally and physically able to be taught to give themselves the injection but refuses to learn to do so, visits by a nurse to administer the injections are not considered reasonable and necessary and would not be reimbursable under the program. If a patient has a psychological block to giving themselves an insulin injection, they would be considered mentally unable to be taught to render the self-injection.