Application Instructions

• General Information

  The Fair Information Practice Act:  In compliance with Ind. Code 4-1-6, this agency is notifying you that you must provide the requested information, or your application will not be processed. You have the right to challenge, correct, or explain information maintained by this agency. The information you provide will become public record. Your examination scores and grade transcripts are confidential except in circumstances where their release is required by law, in which case you will be notified.

  Mandatory Disclosure of U.S. Social Security Number: Your social security number is being requested by this state agency in accordance with Ind. Code 4-1-8-1 and 25-1-5- 11(a). Disclosure is mandatory, and this record cannot be processed without it. Failure to disclose your U.S. social security number will result in the denial of your application. Application fees are not refundable.

  Abandon Applications:  If an applicant does not submit all requirements within one (1) year after the date on which the application is filed, the application for licensure is abandoned without any action of the Board. An application submitted after an abandoned application shall be treated as a new application.

  A person may not use the title of "licensed diabetes educator" or profess to be a licensed diabetes educator unless they hold a diabetes educator license.

  A diabetes educator license, however, is not required to provide diabetes education.

• Diabetes Educator by Examination

  Submit the following with your online application:

  1. Application Fee: $50.00 application fee to be paid by credit or debit card.  All application fees are nonrefundable.
  2. Criminal Background Check
  3. Positive Response Documentation: If you answer "Yes" to any questions on the application, explain fully in a statement that includes all details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s).
  4. Name Change Documentation: Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.
  5. Verification of education or training (choose one):
     • Proof of completion of Association of Diabetes Care and Education Specialist (ADCES) core concepts course, with demonstrable experience of at least 1,000 hours within the previous 4 years (400 hours must be within the previous year)
     • Proof of credentialing with Association of Diabetes Care and Education Specialist (ADCES)
     • Proof of credentialing with Certification Board for Diabetes Care and Education (CBDCE)
  6. Verification of State Licensure(s) - Verification of any registration/license/certification to practice any health-related profession or occupation in another state or territory.  Verifications must be submitted directly from the state of issuance. Official electronic verification will also be accepted.
  7. Name Change Documentation (if applicable) - If your name has changed or differs on any documents submitted, please include an official name change document such as a marriage license or divorce decree.
• Diabetes Educator by Reciprocity

  If you are a licensed Diabetes Educator in another State and meet the reciprocal requirements as defined in IC 25-1-21-5, submit the following with your online application:

  1. Application Fee - $50 to be paid by credit or debit card for online applications.  All application fees are nonrefundable.
  2. Criminal Background Check
  3. Positive Response Documentation: If you answer "Yes" to any questions on the application, provide a detailed statement that includes all relevant details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s).
  4. Name Change Documentation: Documentation of any legal name change if your name differs from that on any of your documents. Documentation may include a copy of your marriage certificate or divorce decree.
  5. Verification of State Licensure(s) - Current license verification is required. The official verification must be sent directly from the licensing authority to the Board at pla3@pla.in.gov. If the licensee holds/held more than one license, all license verifications must be submitted by the Indiana Diabetes Educator license's first renewal cycle.

Renewal Instructions

• Renewal Information
  • Diabetes Educator licenses expire June 30 of every even-numbered year.
  • The renewal fee is $50.00.

  Renewal notices are sent approximately ninety (90) days prior to the expiration date. License holders with valid e-mail addresses on file will receive the renewal notice by e-mail. Those who do not have a valid e-mail address on file will receive the license renewal notice by mail; it is sent to the address of record with the Board. The Board has no way of knowing whether or not a notice reaches its destination; therefore, when a notice has been e-mailed to a valid e-mail address or mailed, the duty of the Board has been performed.

  Completion of 15 hours continued education to be completed annually.

• Reinstatement Information

  If your Diabetes Educator license has expired for three (3) years or more, you must reinstate your license to practice. To reinstate, you must submit the following with your online reinstatement application:

  1. Application Fee: Pay the current renewal fee ($50) and the current initial application fee ($50), for a total of $100, plus additional processing fees. All fees are nonrefundable.
  2. Proof of Current Credentials (ADECES/CBDCE): Proof of credentialing with the Association of Diabetes Care and Education Specialists (ADCES) or proof of credentialing with the Certification Board for Diabetes Care and Education (CBDCE)
  3. Positive Response Documentation: If you answer "Yes" to any questions on the application, provide a detailed statement that includes all relevant details. Include the violation, location, date, cause number, and disposition. Submit copies of court documents for each instance to support the statement. If malpractice, provide the name(s) of the plaintiff(s).
  4. Verification of State Licensure(s) - If you hold a license from another Jurisdiction, current license verification is required. The official verification must be sent directly from the licensing authority to the Board at pla3@pla.in.gov.
• Continuing Education

  All Diabetes Educators must obtain fifteen (15) hours of continuing education annually to renew their license.

  According to 844 IAC 18-1-6, when renewing a license, each licensed diabetes educator shall attest to the successful annual completion of fifteen (15) hours of board-approved continuing education credits.

  In addition to courses offered by an approved organization pursuant to IC 25-1-4-0.2, board-approved continuing education courses include courses offered or approved by the following:

  1. The American Association of Diabetes Educators.
  2. The National Certification Board for Diabetes Educators.
  3. Any credentialing program approved by the board pursuant to section 3(4) of this rule.

• Diabetes Educators Applications/Renewals

  Diabetes Educators Applications/Renewals	Fee
  Initial Application	$50.00
  Renewal  - June 30 every even-numbered years	$50.00
  Reinstatement  - Expired over three years	$100.00