Diabetes Management Program
The Diabetes Management Program is administered by the Employee Benefits Division. The program provides an opportunity for employees and their dependents to be rewarded for taking control of and managing their diabetes.
The goal of the program is to assist participants with controlling blood glucose levels and modifying their lifestyle to prevent or slow the progression of cardiac complications, and diabetic-related eye, kidney, and nerve diseases.
Participants who successfully complete all 8 program requirements receive appropriate diabetic supplies and diabetic medications at no cost for one year.
After two retail fills of diabetic supplies, additional fills of diabetic
supplies will only be covered by mail order through Catalyst Rx. Participation can be continued annually by recertifying the program requirements.
Who is eligible?
Employees and their covered dependents of any age who have been
diagnosed with diabetes and are enrolled in the Co-insurance Pharmacy plan
administered by Catalyst Rx. Employees and their
covered dependents enrolled in the Choice Fund medical plan are not eligible to
enroll in the Diabetes Management Program.
Click here to review the Diabetes Management Program brochure (updated
7/1/12) that contains the eligibility and program requirements.
To get started, contact Employee Benefits at BenefitsService@mail.maricopa.gov or call 602-506-1010, press option 2 and option 2 again.
There are several items required to complete the enrollment process and to qualify for the free diabetic supplies and diabetic medications for one year:
- Complete the Authorization for Disclosure of Private Health Information Form and return to the Employee Benefits Division by faxing it to 602-506-2354
- Complete the 8 program requirements
- Submit verification of the 8 program requirements. Use the forms below for your medical provider to certify completion of the program requirement.
- -Do not submit test results or names of medications or supplies
In addition, participants who complete the 8 Diabetic Management Program
requirements may also be eligible for reimbursement of up to four
diabetes-related office visit copays, provided those office visits took place
during the same timeframe in which the 8 requirements were completed. For
example, if the 8 requirements were completed from July 1st to June
30th, then the diabetes-related office visits should have occurred
during that same timeframe, same year. Documentation (forms signed by various
healthcare providers and receipts for reimbursement) should be submitted all at
once. Forms or receipts submitted one at a time will not be accepted.
Click here for reimbursement form.
Authorization / Dentist's Form / Nutritionist's Form / Opthalmologist's Form / Physician's Form /
Medication Review Form
Do not fax forms one at a time. Please fax
all forms together at one time.