RENEWAL OF CERTIFICATION - by Continuing Education Handbook - CBDCE
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2021
RENEWAL OF CERTIFICATION
by Continuing Education
Handbook
Type of Application Application Window Application Fee
Standard Deadline July 15 - Sept 15 $250
Extended Deadline Sept 16 - Oct 15 $300*includes late fees
Late Deadline Oct 16 - Dec 15 $400*includes late fees
Grace Period Option Dec 16 - Mar 31, 2022 $500*includes late fees2021 Renewal by Continuing Education
Table of Contents
General Application Process
Important General Information . . . . . . . . . . . . . . . . . . . ii General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Important News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii Application Process . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Dates and Fees Overview . . . . . . . . . . . . . . . . . . . . . . 1 Online Application . . . . . . . . . . . . . . . . . . . . . . . . . 6
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Paper Application . . . . . . . . . . . . . . . . . . . . . . . . . 6
Mission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Definition of Certified Diabetes Care and Education Adherence to Published Policies . . . . . . . . . . . . . . . . . 7
Specialist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Changes after the Application is Submitted . . . . . . . . 7
Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Audit Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Rejected Applications . . . . . . . . . . . . . . . . . . . . . . . . . 8
Responsibility for Certification . . . . . . . . . . . . . . . . . . . 2 Appeals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Canons of Ethical Conduct . . . . . . . . . . . . . . . . . . . . . 2 Withdrawals and Refunds . . . . . . . . . . . . . . . . . . . . . . 8
Definition of Diabetes Care and Education . . . . . . . . . 2 Application Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Statement of Nondiscrimination Policy . . . . . . . . . . . . 3 Online Application . . . . . . . . . . . . . . . . . . . . . . . . . 8
Disciplinary Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Paper Application . . . . . . . . . . . . . . . . . . . . . . . . . 8
Confidentiality Policy . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Application Process Grace Period Option
Renewal Grace Period Option . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Renewal of Certification . . . . . . . . . . . . . . . . . . . . . . . . 4
Eligibility Requirements . . . . . . . . . . . . . . . . . . . . . . . . 4 Post Renewal Process
Renewal by Continuing Education . . . . . . . . . . . . . . . . 4 Certificates and Wallet Cards . . . . . . . . . . . . . . . . . . 10
Renewal Practice Requirement . . . . . . . . . . . . . . . . . . 5 Use of Certification Marks . . . . . . . . . . . . . . . . . . . . . 10
Definition of Professional Practice . . . . . . . . . . . . . 5
Appendices
What is Included in the Definition . . . . . . . . . . . . . . 5
Appendix I: Guidelines for Reporting
What is NOT Included in the Definition . . . . . . . . . . 5
Continuing Education Activities . . . . . . . . . . . . . . . 11
For Those Unable to Meet the Practice
Appendix II: Examination Content Outline . . . . . . . . . 15
Requirement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Appendix III: Canons of Ethical Conduct . . . . . . . . . 17
Copyright © 2021. All rights reserved. Certification Board for Diabetes Care and Education (CBDCE). Printed in the USA.
02/2021
i2021 Renewal by Continuing Education
Important General Information
GENERAL
In 2020 the National Certification Board for Diabetes Educators (NCBDE) Board of Directors announced changes to
the designation of the certification credential and the organization’s name to reflect what is happening in the health
care environment and the designation of the specialty. Beginning in 2020, the Certified Diabetes Educator® (CDE®)
designation will transition to Certified Diabetes Care and Education Specialist (CDCES). The NCBDE organization will
now be known as the Certification Board for Diabetes Care and Education (CBDCE). All changes are reflective in this
Handbook.
Certification Board for Diabetes Care and Education (CBDCE)
(Formerly known as National Certification Board for Diabetes Educators [NCBDE])
Certified Diabetes Care and Education Specialist (CDCES)
(Formerly known as Certified Diabetes Educator® [CDE®])
Certification Examination for Diabetes Care and Education Specialist
(Formerly known as Certification Examination for Diabetes Educators)
The Certification Program for Diabetes Care and Education Specialists is owned by the National Certification Board for
Diabetes Care and Education Specialists (CBDCE). CBDCE is an autonomous specialty board responsible for the
development and administration of the certification program for Diabetes Care and Education Specialists. CBDCE is
independent and separate from any other organization or association. The Certified Diabetes Care and Education
Specialist (CDCES) credential is conferred only by CBDCE, a national, nongovernmental, not-for-profit certification
organization. Certification is valid for a period of five (5) years. A registry of CDCESs is maintained by CBDCE.
This Renewal of Certification by Continuing Education Handbook (Handbook) contains information about CBDCE’s renewal
of certification by continuing education option for CDCESs. Individuals who elect to participate in the certification program
are responsible for utilizing the most current Handbook and knowing its contents. This publication and application replace
all previous editions of the Handbook.
CBDCE updates the information, fees and requirements in this Handbook on a regular basis and makes every effort to
present all policies and directions clearly. Questions regarding policies or clarification of information should be directed to
the CBDCE national office. CBDCE is not responsible for information that is not understood by the reader or obtained from
any source other than CBDCE.
National Office
Certification Board for Diabetes Care and Education
330 E. Algonquin Road, Suite 4
Arlington Heights, IL 60005
Phone: (847) 228-9795
Fax: (847) 228-8469
Web: www.cbdce.org
E-mail: info@cbdce.org
CBDCE endeavors to process all applications promptly and professionally. Nevertheless, in
the event an application is improperly accepted or rejected, or action on it is delayed due to an
inadvertent processing error, CBDCE liability to the applicant is limited to a complete refund of the
application fee.
ii2021 Renewal by Continuing Education
IMPORTANT NEWS!
GENERAL
Your application to renew your CDCES credential using the renewal by continuing education option can be completed and
submitted online.
Why apply online?
• Fast & Efficient – 24/7 access and provides you with almost instant notification of application status.
• Good for the environment – no paper application is necessary. Only CDCESs who are chosen for audit
need to provide documentation of renewal requirements.
Note: Paper applications are still available at www.cbdce.org.
Paper applications will be processed on a monthly batch basis and, therefore, notifications of receipt, status of application,
and approval will be sent to applicants when possible after the batch has been processed.
General Information on Process*
R Done! Obtain and read the 2021 Renewal by CE Handbook
£ Choose your method for renewing
Online Option – “Fast” Route Paper Option – “Slow” Route
Login to your CDCES portal any time within chosen window Go online to the CBDCE web site.
and select Renewal 2021
Application will prefill with your contact Download and print paper application. Read and fill out
information. Edit as needed. the application.
Review each attestation page and agree as needed. Mail application by postmark deadline of chosen window –
recommended traceable method for proof of delivery.
Submit your payment via credit card. Within 4 weeks of your applying, your application will be
processed, and you will be notified via email of either its’
approval or your selection for an audit.
You will receive immediate notification that your application
was successfully submitted. Then within 24 hours, you will
receive e-mail notification that either Paper applications are reviewed on a first in, first out basis.
1) your renewal application has been approved and you Audit notices will be emailed (selected on a random basis).
have successfully renewed OR Approval notifications are sent via email. Please allow up to
2) you have been chosen for audit (random basis) and 3 months from application date for your new certificate.
will need to submit hard copy audit paperwork.
If audited, upon receipt of verification of requirements,
you will be notified of your successful renewal.
*These options are only available for the Standard, Extended and Late deadline options. If you are applying using the
Grace Period option, you must submit a special Grace Period paper application and include documentation of continuing
education activities. Please refer to Grace Period Option section of the Handbook, page 9.
iii2021 Renewal by Continuing Education
GENERAL
Renewal of Certification by Continuing Education – 2021
Deadline Dates and Fees Overview
Continuing Education
Activities and Practice
Requirement Accrual Window†* Application Fee Application Window** Receipt Notification
Standard Deadline
First renewal January 1, 2017
through Date of Application 1) Online
July 15, 2021 applications:
Renewed Previously Day after last application $250 to Immediate
by Continuing deadline used through Date September 15, 2021 confirmation
Education of Application (See Renewal is part of the
of Continuing Education, online application
page 4) process.
2) Paper
Extended Deadline Option
applications:
First renewal $250 September 16, 2021 If more than
+ 50 late fee to 4 weeks have
Renewed Previously See above $300 total October 15, 2021 passed since the
by Continuing
application was
Education
mailed and you
have not received
Late Deadline Option an approval/audit
notice, please
First renewal $250 October 16, 2021 contact the CBDCE
+ 150 late fee to national office.
Renewed Previously See above $400 total December 15, 2021
by Continuing
Education
Grace Period Option Paper applications
only. If more than
First renewal January 1, 2017 through
4 weeks have
December 15, 2021
passed since the
Renewed Previously Day after last application $250 December 16, 2021 application was
by Continuing deadline used through + 250 late fee to mailed and you
Education December 15, 2021 $500 total March 31, 2022 have not received
(See Grace Period Option, an approval notice,
page 9). please contact the
CBDCE national
office.
† CDCESs who allowed their credentials to expire in 2016 or earlier and had their credentials reinstated by passing the
Examination in 2016 must use the January 1, 2017 accrual start date.
*Activities must be completed prior to the date of application, regardless of the closing date of the window.
**Applications will be accepted beginning July 15, 2021 and will be accepted through the last date of each appropriate
window. The closing date of each window is 11:59 pm CT of the last day of the window for online applications or
postmark deadline if applying using a paper application. Paper applications received with a postmark date after a
window has closed will be processed in the next available window. Processing will require payment of any increase in
the application fee. NOTE: Paper applications received with a postmark after March 31, 2022 will not be processed and
will be returned.
12021 Renewal by Continuing Education
Introduction Objectives
The purpose of this Renewal of Certification by Continuing Objectives of the certification program are to
GENERAL
Education Handbook (Handbook) is to provide information n provide a mechanism to demonstrate professional
and guidance to individuals who are interested in renewing accomplishment and growth
their Certified Diabetes Care and Education Specialist
(CDCES) credential through continuing education. This n provide formal recognition of specialty practice and
renewal option is available to current CDCESs (exception: knowledge at a mastery level
See Grace Period Option section, page 9). Any individual n provide validation of demonstrated dedication to diabetes
who has let their credential expire and does not make care and education to consumers and employers
use of the Grace Period Option, will need to apply and
n promote continuing commitment to best practices,
pass the Certification Examination for Diabetes Care and
current standards and knowledge
Education Specialists (Examination) in order to reinstate
their certification. The Handbook for the 2021 Certification
Examination for Diabetes Care and Education Specialists
Responsibility for Certification
includes information on the Examination and the required This certification program is owned by CBDCE and all
Application to pursue this process. Visit the CBDCE web decisions made by CBDCE with respect to the certification
site for information on obtaining this document. program are final.
Mission Canons of Ethical Conduct
The mission of the Certification Board for Diabetes Care CBDCE has adopted Canons of Ethical Conduct and Rules
and Education is to promote comprehensive and ongoing and Procedures (see Appendix III, page 15). All CDCESs
diabetes clinical management, education, prevention, must attest to and agree to abide by the Canons and Rules
and support by defining, developing, maintaining, and and Procedures.
protecting the certification and credentialing processes.
Definition of Diabetes Care and
Definition of a Certified Diabetes Education (DCE)
Care and Education Specialist Editor’s Note: The 2017 National Standards for Diabetes Self-
A Certified Diabetes Care and Education Specialist (CDCES) Management Education and Support (NSDSMES) reflect a
is a health professional who possesses comprehensive change in terminology from ‘program’ to ‘services’, along with
knowledge of and experience in diabetes prevention, other revisions. Please refer to the NSDSMES standards for
prediabetes, and diabetes management. The CDCES full details±.
educates, supports, and advocates for people affected by
diabetes addressing the stages of diabetes throughout the Diabetes self-management education and support or
lifespan. The CDCES promotes self-management to achieve DSMES, historically also referred to as diabetes self-
individualized behavioral and treatment goals that reduce management training or diabetes education, is performed by
risks and optimize health outcomes. health professionals who have appropriate credentials and
experience consistent with the particular profession’s scope
Purpose of practice. For purposes of this Handbook, diabetes care
and education (DCE) is used.
The purpose of the CBDCE certification program is
to conduct certification activities in a manner that
DCE± involves the person with prediabetes or diabetes and/
upholds standards for competent practice in diabetes
or the caregivers and the specialist(s) and is defined as the
self-management education. The CDCES credential
ongoing process of facilitating the knowledge, skill, and ability
demonstrates that the certified health professional
necessary for prediabetes and diabetes self-care, as well as
possesses distinct and specialized knowledge, thereby
activities that assist a person in implementing and sustaining
promoting quality care for persons with diabetes.
the health practices needed to manage the condition on an
Certification is a voluntary process used to assess and
ongoing basis, beyond or outside of formal self-management
validate qualified health care professionals’ knowledge in
training. It is a component of a comprehensive plan of
diabetes care and education. It is an evaluative process
diabetes care. The process incorporates the needs, goals
that demonstrates that rigorous eligibility requirements
and life experiences of the person with prediabetes or
have been met. Certification is not required by law for
diabetes and is guided by evidence-based standards. DCE
employment in the field, although some agencies may
should include practical problem-solving approaches and
use board certification as a basis for employment, job
collaborative care, address psychosocial issues, lifestyle
promotions, salary increases, or other considerations.
change, and strategies to sustain self-management.
22021 Renewal by Continuing Education
For purposes of certification eligibility, some or all of an individual is not in compliance with CBDCE requirements.
the following components of the DCE process may CBDCE has the right to suspend, withhold, revoke, censure,
be performed and counted towards meeting the DCE or take other appropriate action with regard to certification
GENERAL
practice experience requirement: status for validated cause and to make such actions
n Assessment: The participant’s DCE needs are identified. public. Certification may be withheld, denied or revoked, or
This process is led by the participant with assessment applications rejected for reasons including, but not limited to,
and support of the educator. the following:
n Education and Care Plan: The participant’s individualized 1. Falsification of application information
education and care plan is developed. The plan reflects
the participant’s self-management goals and current 2. Noncompliance with review and audit procedures
evidence and practice guidelines and includes criteria 3. Loss of current, active, unrestricted licensure or
for evaluating outcomes. registration
n Interventions: The specialist delivers intervention options 4. Revocation or suspension of current license or other
to assist the participant in meeting self-management credential, or other disciplinary action by a licensing or
goals. regulatory board or registration commission/agency
n Ongoing Support: The specialist provides options for 5. Validated unethical practice of diabetes care and
ongoing support and resources. The support option(s) education
is selected by the participant to best meet their self- 6. Violation of the Canons of Ethical Conduct
management goals.
7. Giving or receiving assistance during the Examination
n Participant Progress: The specialist will monitor and
communicate whether the participant is achieving their 8. Removing or attempting to remove Examination
self-management goals and other outcome(s) to evaluate information or materials from the test center
effectiveness of interventions. Additional assessments 9. Representing oneself falsely as a Certified Diabetes
are based on the participant’s needs across the lifespan. Educator or Certified Diabetes Care and Education
n Documentation: The specialist documents the Specialist
assessment, education plan, intervention, and outcomes 10. Obtaining or attempting to obtain certification, whether
in the participant’s health record. initial or renewal, by fraud or deception
n Services Development/Administration: Development and 11. Unauthorized possession and/or distribution of any
administrative activities performed as part of DSMES official CBDCE testing or Examination materials
services.
12. Ineligibility for certification, as determined by CBDCE
Note: Regardless of discipline, knowledge (and the ability to 13. Misrepresentation or fraud in any statement on the
apply that knowledge) is necessary across all areas of the certification Application made to assist individual to
examination content outline. apply for, obtain, or renew certification.
±Adapted from 2017 National Standards for Diabetes Self- Confidentiality Policy
Management Education and Support, American Diabetes All information provided to CBDCE may be used for a variety
Association. Diabetes Care, Published online August 2017. of analyses to study diabetes educators, certified diabetes
care and education specialists, and the practice of diabetes
Statement of Nondiscrimination care and education. However, information sharing will be
Policy limited to data reports in aggregate form or documents that
do not contain personally identifiable information.
CBDCE does not discriminate among applicants on the basis
of age, gender, race, color, creed, religion, national origin,
Published studies and reports concerning applicants
disability, marital status, parental status, ancestry, sexual
(exam and renewal by continuing education) will contain no
orientation, military discharge status, source of income, or
information identifiable with any individual, unless authorized
any other status protected by law. All applications submitted
by the applicant.
for certification are individually reviewed on the basis of
information submitted.
Information on the status of an individual’s certification is
considered public information, though verification requests
Disciplinary Policy may require specific information from the individual or
CBDCE may deny, revoke, or otherwise act on any requesting body to ensure correct identification of the
application for certification or on any CDCES credential when individual in question.
32021 Renewal by Continuing Education
CBDCE requires all CDCESs to recertify every five (5) years
Renewal of Certification to maintain certification status. It is the responsibility of each
Renewal of certification must be completed during the CDCES to stay abreast of changes in certification and/or
calendar year in which an individual’s CDCES credential renewal requirements and to recertify in a timely manner.
expires. If a CDCES can document meeting the renewal Valid dates of the credential should be monitored and
practice requirements, renewal may be done either by application for renewal submitted by published deadlines.
continuing education or by taking the Examination. Extensions of certifications are not granted.
Health professionals specializing in diabetes care and education Eligibility Requirements for
will demonstrate through renewal of certification: knowledge Renewal of Certification by
and skills are up-to-date; ability to practice proficiently, safely,
and in a manner consistent with current National Standards of Continuing Education
Diabetes Self-Management Education and Support (NSDSMES). For CDCESs whose credential will expire 12/31/2021:
Renewing Your Certification 1. Individuals must continue to hold the license or
There are three windows – Standard, Extended, and Late registration for the same discipline held at the time of
– in which to renew (refer to page one for specific dates). initial certification. This license or registration must be
Note that the renewal fee increases with each window. For current, active, and unrestricted at the time of renewal.
those that miss the open renewal windows there is a Grace 2. A minimum of 1,000 hours of professional practice
Period Option available. All practice hours and CE must be experience during the five-year certification cycle.
earned by the renewal application date or by December 15 NOTE: Refer to the Renewal Practice Requirement
if using the Grace Period Option. section, page 5, for additional information on the
practice requirement.
RENEWAL
Ways to Renew:
3. Renewal of certification by continuing education
Renewal with Practice Hours and Continuing Education (CE)–
requires that CDCESs complete 75 clock hours of
requires 1000 practice hours and 75 continuing education
continuing education in content areas applicable
hours. Renewal can be done online through the CDCES
to diabetes during the certification cycle.
portal.
4. Application Fee(s) Payment
Renewal by Exam* with Practice Hours – requires 1000
practice hours and passage of the exam. Refer to section Renewal by Continuing
“For Those Unable to Meet the Continuing Education
Requirement” on page 5. To renew through this option, one
Education Accrual Dates
can place their exam registration online at https://schedule. For those renewing for the first time, the start date for
psiexams.com. Review the Examination Handbook for accruing professional practice and continuing education
information. (CE) hours is January 1 following the year of initial
certification.
Renewal by Exam* with Continuing Education (CE) Hours–
requires documentation of 75 continuing education hours For those who have previously renewed by the continuing
and passage of the exam. Refer to page 5, section “For education option, the start date for accruing practice and
Those Unable to meet the Practice Requirement”. To renew CE hours is the day after the application deadline date of
through this option requires the completion of the hard copy the continuing education window of their last renewal. For
application and providing CBDCE with a detailed list of the those who previously renewed by Examination, the start
CEs which were earned during the accrual cycle. Review date for accruing CE hours is September 16, 2016. Refer to
the Examination Handbook for information. the Renewal Handbook or call the CBDCE national office for
your accrual dates.
Grace Period Option – visit page 9 for details and
requirements on this option. All hours must be obtained prior to the date of application for
renewal.
*Individuals renewing by examination will need to take/pass the
Examination by 12/31/2021 in order to renew their CDCES with * CDCESs who allowed their credentials to expire in 2015 or earlier
no interruption. Please make a note of this when scheduling your and had their credentials reinstated by passing the Examination
in 2016 must use the January 1, 2017 accrual start date.
examination.
42021 Renewal by Continuing Education
For Those Unable to Meet Your Renewal Accrual Cycle
the Continuing Education For those renewing in 2021, the 1000 hours of professional
practice experience requirement must have:
(CE) Requirement • Been completed during the appropriate five year
For CDCESs whose credentials will expire 12/31/2021, certification cycle.
that wish to maintain certification status who do NOT meet • For those renewing for the first time, the start date for
the continuing education requirement but meet the accruing practice hours is January 1 following the year of
practice requirement and continue to hold the license or initial certification.
registration of the same discipline held at the time of initial • For those who have previously renewed by the continuing
certification, renewal by examination is the only option to education option, the start date for accruing practice and
renew. Refer to the 2021 Certification Examination for CE hours is the day after the application deadline date of
Diabetes Education Handbook for information on how to the continuing education window of their last renewal (e.g.
apply for renewal by examination under this situation. for those renewing in 2021, those who renewed by CE in
the standard window which ended 9/15/2016, accrual starts
Renewal Practice Requirement September 16, 2016.); for a CDCES who last renewed by
For CDCESs renewing in 2021, it will be necessary to examination, the accrual date starts on September 16, 2016.
attest (and document upon audit) that a minimum of 1,000 • All hours must be obtained prior to the date of application
hours of professional practice experience was accrued. for renewal.
The professional practice requirement for renewal of
certification, however, is NOT the same as that required for NOTE: There is no requirement about how or when this must be
initial certification. CBDCE recognizes that diabetes care accomplished, e.g., to complete 200 hours per year each of the
and education is an evolving specialty and that experienced five years, or to be practicing at the time of application.
RENEWAL
CDCESs often assume roles other than the practice of
diabetes education required for initial certification. For Those Unable to Meet the
Practice Requirement
Renewal Practice Requirement For CDCESs who wish to maintain certification status but do not
Definition or cannot meet the practice requirement, there is only one
For purposes of renewal of certification, practice means renewal option. That method requires successful completion
providing a direct or indirect professional contribution to the of both the Examination and the accrual of 75 clock hours of
care and self-management education of people with diabetes. acceptable continuing education. During the accrual period
Practice hours must have taken place in the United States or its that certification is valid, if a CDCES has practiced less than
territories. the required 1,000 hours, has taken employment unrelated to
diabetes care and education, is on leave from employment
This definition is intended to be as inclusive as possible of or has retired, but still wishes to maintain certification as a
positions currently held by CDCESs. In addition to providing Diabetes Care and Education Specialist, the requirements to
DCE to persons with diabetes, it also includes hold a current, active unrestricted license or registration for
• services (formerly known as program) development the same discipline held at the time of initial certification and to
• services (formerly known as program) management demonstrate knowledge of current standards and practices by
• public health/community surveillance passing the Examination and documenting relevant continuing
• volunteer activities education activities are required. No exceptions will be available.
• diabetes-related research Refer to the 2021 Certification Examination for Diabetes
• clinical roles in diabetes industry Care and Education Specialists Handbook for information on
• case management how to apply for renewal by examination under this situation.
• professional education
• consultant roles to industry or other providers, or others. Individuals renewing by examination will need to take/
pass the Examination by 12/31/2021 in order to renew
What is NOT Included in the Definition their CDCES with no interruption. Please make a
Employment in the manufacture, direct sales, or distribution note of this when scheduling your examination.
of diabetes-related products or services in pharmaceutical or
other diabetes-related industries, or jobs or volunteer activities
unrelated to diabetes will not meet the practice requirement.
52021 Renewal by Continuing Education
using your email address and password. Once logged in,
Renewal by Continuing Education (CE) choose menu option: Renewal 2021. From there, applicants
Renewal by CE in 2021 is available only to CDCESs whose will read and attest/agree to the information on each renewal
credential expires 12/31/2021 who can document meeting web page, moving from page to page. On the last page of the
the renewal practice requirement and have accrued 75 renewal application applicants will enter their payment details
hours of continuing education. Applicants must apply by the and select “Complete Renewal”. This will submit the application.
published deadline date and submit applicable fee(s).
After the application information and payment using a credit
Application Process-Standard, card have been submitted, applicants will be sent an email
notice of acceptance or audit will follow within 24 hours.
Extended, or Late Deadline Windows
There are three renewal windows—Standard, Extended, You can also see the status of your application on the
and Late. Refer to page 1 for the deadline dates and fees COMPLETION page of the renewal application.
for each of these windows.
Note: An application must be submitted with payment prior
Before applying, individuals will want to read through to the closing of any window to be considered under that
the renewal handbook and closely review Appendix window. CBDCE cannot be held responsible for times when the
I - Guidelines for Reporting Continuing Education web site or renewal application option is not available online.
Activities, page 11, for important details on the continuing Therefore, it is not recommended that individuals wait until
education activity requirements. All practice and CE immediately before a window is closing to submit an application,
hours need to be earned by the renewal application date e.g., do not wait until 10:30 pm CT or later on September 15,
or December 15 if using the Grace Period Option. 2021 to apply under the standard window in the event that
there are issues with your own computer or internet access
Applicants renewing by continuing education may do so via or interruptions preventing you from being able to access
the online renewal process or paper application. Applicants are CBDCE’s web site or complete the application process.
encouraged to apply for revewal once they have met the renewal OR
requirements. All applications submitted become the property of
CBDCE and under no circumstancs are applications, including 2. Paper Application: Complete and submit to CBDCE a
copies of hard copy applications, returned to applicants. paper application and appropriate fee (credit card, company
check, personal check, cashier’s check or money order). The
For those individuals that miss the deadline windows, CBDCE application can be found on the CBDCE web site at:
does offer a Grace Period Option. Refer to page 9 for details www.cbdce.org.
and requirements under this Option.
Any application is considered complete only if all the
Documentation of eligibility does not need to be submitted information requested is documented, legible and accurate, if
with an application for renewal by continuing education. the applicant is eligible for renewal by continuing education,
However, CBDCE reserves the right to verify and /or audit and if the appropriate fee accompanies the application.
information supplied by the applicant. If selected for an audit,
the applicant will be asked to submit appropriate documentation CBDCE processes applications within 4 weeks of receipt
supporting eligibility. The necessary documentation must and an email notification will be sent upon approval of the
application. Individuals whose application is incomplete
APPLICATION PROCESS
be received by the deadline date; late fees will apply for
documentation received after the specified deadline date. are notified via phone/email as to what is needed to bring
Individuals selected for audits will not be able to complete to complete status. If you have not heard from CBDCE
their renewal until the audit is successfully completed. on the status of your application (either incomplete or
approved applications) within 4 weeks after application
How to Apply for Renewal by Continuing Education submittal, contact CBDCE at 847-228-9795.
There are two methods available for applying for renewal by
continuing education: Note: Paper applications will only be processed on
a monthly batch basis and, therefore, notifications of
• Online application receipt, status of application, and notifications of audit
• Paper application and/or approval will be sent to applicants as soon as
possible after the batch has been processed.
1. Online Application: Access the application online by visiting
the CBDCE web site at www.cbdce.org. Click on “Sign In”
See Application Status, 2, Paper Application, page 8 for
option (top navigation bar) and complete the log in process
additional information.
62021 Renewal by Continuing Education
For those using the paper application option, applicants
Renewal of Certification by are advised to send applications to CBDCE using certified
Continuing Education Fees mail or traceable courier services. CBDCE is not responsible
Standard deadline (9/15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . $250 for lost, misdirected, late or undelivered mail. A certified mail,
(online application completed no later than 11:59 pm CT or certificate of mailing, or other courier receipt can serve as
paper application postmarked no later than 9/15/2021) proof that the application was mailed by the deadline. For
mailed applications, deadlines are postmark dates on the
Extended deadline (10/15) . . . . . . . $250 + $50 late fee = $300 mailing envelope when sent by U.S. mail. Private metered
(online application completed no later than 11:59 pm CT or postmarks and mail receipts not dated by the U.S. Postal
paper application postmarked no later than 10/15/2021) Service are not acceptable as proof of timely mailing.
Late deadline (12/15) . . . . . . . . . . . $250 + $150 late fee = $400
(online application completed no later than 11:59 pm CT or Changes after the Application
paper application postmarked no later than 12/15/2021)
is Submitted
Grace Period Option . . . . . . . . . . . $250 + $250 late fee = $500
(paper Grace Period application only, postmarked no later CBDCE must be notified in writing of any change in name or
than 3/31/2022) address that occurs after the application has been submitted.
Fees for online applications may be paid by credit card
(VISA, MasterCard, Discover, or American Express). Audit Policy
Paper applications may be paid by credit card or check. CBDCE conducts random audits on a regular basis and
Do not send cash. Please allow up to six weeks after the also reserves the right to verify and/or audit at any time any
application deadline for the processing of checks. Declined application submitted for certification.
credit cards and/or insufficient fund checks returned to
CBDCE are subject to a penalty. Repayment of a declined CDCESs whose applications are selected for audit must submit:
credit card or payment for an insufficient fund check and
1) proof of holding an active, current unrestricted license/
the penalty must be made with a cashier’s or certified check
registration held at the time of initial certification;
or money order. Unless and until all fees have been paid
in full, application processing will not be completed. 2) proof of meeting the renewal practice requirement by
providing a verification statement from a supervisor or,
Processing of payment does not confirm renewal by continuing
for self-employment, other qualified health care
education has been approved. In the event an application
professional; and
for renewal of certification by continuing education is not
accepted by CBDCE, a $100 nonrefundable processing fee 3) proof of meeting the continuing education requirements by
and any applicable late and penalty fees will be retained providing copies of certificates of completion, verifications of
and the remainder of the application fee refunded. attendance issued by a recognized provider on CBDCE’s list,
or other relevant proof of completion or attendance issued
Please note that a receipt verifying the application fee (and/ by the recognized provider for each continuing education
or late fee) is not available separately from CBDCE on an activity submitted. Each document must include the name
individual basis. CBDCE will confirm the application fee paid of the attendee, title of the activity, date(s) the program was
in the emailed notification letter provided after the application attended or completed, the recognized provider(s), and the
has been approved. CBDCE highly recommends that you total number of credits or contact hours awarded. See Formal
APPLICATION PROCESS
keep a copy of the payment method for your own records. Activities Table A, page 12. Some CE certificates include
a list of sessions attended. This list of sessions attended
needs to be included with the certificate when submitting
Adherence to Published Policies CE documentation. For Expanded Activities, documentation
Eligibility requirements, application deadlines, and fee must be provided as stated in Table B, page 13.
payment policies are strictly enforced by CBDCE. Applications
Audit material must be received at the CBDCE national
must be submitted by the specified deadline dates. Online
office within 14 days from audit notification or a $25 late fee
applications will be processed in the next available window,
will apply.
except after the deadline for the late window has passed.
Paper applications submitted after published deadline dates To see the current audit documentation, visit the CBDCE web
cannot be processed and applications will be returned. site.
Absolutely no exceptions will be made. If requested, applicants
must respond with additional information to verify eligibility.
72021 Renewal by Continuing Education
Rejected Applications Application Status
1. Applications may be rejected under the following 1. Online Application
circumstances: Completed applications submitted using the online option will
A. CBDCE determines that the applicant did not meet be sent an email notice of approval or audit instructions will
eligibility requirements. follow within 24 hours of your application submision. Visit the
B. The application is incomplete or improperly Completion page in the renewal application in your CDCES
completed. portal for details.
C. The application and/or fee are not submitted by the *Important Note: For any online applications submitted
published deadline date. using the late/December deadline – any individuals chosen
D. The applicant, if selected for audit, does not submit for audit may not receive confirmation of successful renewal
required documentation by the deadline date. until after December 31, 2021. Therefore, CDCESs using the
late application deadline should be aware that they may not
receive this notification until after that date. An individual should
When an application is rejected for any of these reasons,
NOT use the CDCES credential after December 31, 2021 until
the application fee, minus a $100 processing fee and any
notification that certification has been renewed is received.
applicable late and penalty fee(s), will be refunded.
OR
2. Applications may be rejected if the payment for the 2. Paper Application
application fee(s) is not honored by the card issuer or
bank and is not resubmitted on a timely basis. In addition CBDCE processes applications within four weeks
to payment of application fee, applicant will owe a $100 after receipt. Review of paper applications for renewal
processing fee and any applicable late and penalty fee(s). by continuing education is done on a batch basis,
with audit notices being sent after initial review.
Appeals Applicants with incomplete applications are notified via
Appeals are available only to individuals whose applications phone/email. Approved applications are sent an approval
are rejected because of failure to meet eligibility requirements. notice via email. The approval notice will include the new
The procedure for filing an appeal is sent with the notice of cycle information and serves as the renewal fee receipt.
ineligibility. If an individual elects to file an appeal, the expiration With completion of the review process, notices are sent
date of the individual’s CDCES credential will be temporarily to individuals as soon as possible. Decisions regarding
extended until the appeal process has been completed. renewal by continuing education are communicated in
writing. The CBDCE national office does not provide the
Appeals are not available to individuals whose applications status of an application via telephone, fax or electronically.
are rejected for any other reason, including being incomplete
or improperly completed, or when for other reasons See Adherence to Published Policies section, page 7, for
evaluation of the application cannot be completed. recommended mailing method. If you have not heard on
the status of your application within 4 weeks of submittal,
contact CBDCE at 847-228-9795 or via email at info@cbdce.org.
Withdrawals and Refunds
APPLICATION PROCESS
Once submitted, applications for renewal of certification by Important Note: Though all possible efforts will be
continuing education may not be withdrawn and fees are not made to prevent any individual applying using the paper
refunded. application from receiving their letter of notification after
December 31, 2021, CDCESs using the late application
deadline, especially if chosen for audit, should be aware
that it is possible that they may not receive their letters of
notification until after that date. An individual should NOT
use the CDCES credential after December 31, 2021 until
notification that certification has been renewed is received.
82021 Renewal by Continuing Education
GRACE PERIOD OPTION
Grace Period Option
Individuals with an expired credential of 12/31/21, who
meet the professional practice experience requirement
and the renewal by continuing education requirement,
can reinstate their credential by documenting 75 hours
of acceptable continuing education activities (same
guidelines, accrual cycle as original date). Making
use of this option reinstates the credential with no
change to the renewal cycle or certification number.
Details:
1. Practice requirement hours and continuing
education activities accrued no later than
December 15, 2021.
2. Paper “Grace Period” application to be submitted via
mail only, including:
• Documentation (e.g. certificates of
completion, etc.) of all continuing education
activities (see Appendix l, Guidelines,
Tables A and B, pages 12-13)
• Fee: $500 (total fee includes late fee of $250)
• Must be postmarked no later than March 31, 2022
(see Adherence to Published Policies, page 7)
The application can be found on the CBDCE web
site.
3. After December 31, individuals cannot use the
credential until renewal approval notice is received.
4. Certificates and wallet cards will be mailed
approximately 3 months after approval notice is
received.
5. All policies regarding applications as noted on
pages 7 and 8 are applicable for this reinstatement
option.
92021 Renewal by Continuing Education
Certificates and Wallet Cards
For those CDCESs who receive notices of successful
completion of renewal of certification by continuing
education, complimentary certificates and wallet cards
will be mailed by CBDCE approximately 3 months after
approval notice is received*.
* For those using the Grace Period Option, see Grace Period
Option, page 9.
Use of Certification Marks
Certification is a process by which recognition is granted
to an individual who has satisfactorily met all requirements.
Only after receiving official written notice of either passing
the Examination or renewing certification may an individual
use the mark “CDCES” following his/her name. The
marks CDCES, CERTIFIED Diabetes Care and Education
POST RENEWAL PROCESS
Specialist, and CDCES in the design form(s) approved by
CBDCE, are also used on certificates, lapel pins, cards, and
promotional materials in accordance with CBDCE policies.
CDE® CERTIFIED DIABETES Educator (and Design)®
and CDE® are federally registered certification marks.
The CDCES designation is not punctuated with periods. An
example of proper use of the CDCES credential is as follows:
Joan M. Smith, RN, CDCES.
102021 Renewal by Continuing Education
Appendix I
Renewal of Certification:
Guidelines for Reporting Continuing Education Activities
Minimum Total of 75 Hours of Acceptable Activities Required
n must be at a professional level that enhances the quality
1. Expectations and effectiveness of diabetes care and education practice.
n Health professionals specializing in diabetes care and
n do not have to be discipline specific nor do the activities
education will demonstrate through renewal of certification:
have to be in any specific area of concentration, e.g., social
• knowledge and skills are up-to-date
workers may attend a diabetes related nursing program
• ability to practice proficiently, safely, and in a manner
and use those clock hours for renewal of certification.
consistent with current National Standards of Diabetes
Self-Management Education and Support (NSDSMES)
n All CDCESs who select renewal of certification by Formal continuing education activity formats acceptable for
continuing education will engage in a personal renewal of certification by continuing education - minimum
assessment to identify professional needs and participate of 45 clock hours of the following:
in appropriate activities that are inclusive of the
n Continuing education courses
Examination Content Outline in the current Handbook.
n Independent study
n Seminars
2. Renewal by Continuing n Online programs
Education Cycles n Workshops
For those renewing for the first time, the start date for accruing n Telephonic or video conference programs
professional practice and continuing education (CE) hours is n Conferences
January 1 following the year of initial certification.
Expanded activities acceptable for renewal of
For those who have previously renewed by the continuing certification by continuing education - maximum
education option the start date for accruing practice and of 30 clock hours of the following:
CE hours is the day after the deadline date of the continuing n Academic courses
education window of their last renewal. For those who previously n Presentations or lectures by the certificant
renewed by Examination, the start date for accruing CE hours is n Publications - Articles or books written by the certificant
September 16, 2016. Refer to the Renewal Handbook or call the n Service as a Mentor in CBDCE’s Mentorship Program
CBDCE national office for your accrual dates.
4. Activities - Additional
All hours must be obtained prior to the date of application for
renewal.
Information/Requirements
See Tables A and B on pages 12-13
3. Activities:
n formal Continuing Education Activities must
be provided by or approved by a provider on
the CBDCE List of Recognized Providers
n must be applicable to diabetes. All subject matter on
APPENDICES
the Certification Examination Content Outline published
in the current Handbook is considered applicable
to diabetes. (See Appendix II, pages 15-16)
n must be completed as defined by the renewal of
continuing education cycles policy. (All activities
must be completed prior to the application deadline
and before submitting the application.)
11APPENDICES
Table A. Formal Continuing Education Activities – Additional Information/Requirements
Documentation for Audit and
Category Hours Required/Allowed Requirements
Grace Period Application
Formal Continuing n
Minimum of 45 clock n
Must be approved by a provider on the n
Proof of meeting the continuing
Education Activities hours CBDCE List of Recognized Providers (See education requirements by providing
Formal Activities – Recognized Continuing copies of certificates of completion,
Education Providers on page 14). verifications of attendance issued by a
n
All continuing education activities must be recognized provider on CBDCE’s list, or
reported in clock hours, i.e, the actual time other relevant proof of attendance issued
spent on the continuing education activity, by the recognized provider for each
not contact hours, credits, or units awarded continuing education activity submitted.
by the recognized provider. One clock hour n
Each document must include the name
equals 60 minutes. of the attendee, title of the activity,
n
Presentations – Participants may include date(s) the program was attended or
in the time to be counted as clock hours completed, the recognized provider(s),
the course overview, introductions, the and the total number of credits or contact
educational presentation, and questions hours awarded.
and answers. Time may not be counted
for general announcements, breaks, lunch,
exhibits, or poster sessions.
12
n
Self-study programs (online or written
booklets) – Participants may count the
actual time spent on completing the activity.
Clock hours submitted cannot be more than
the number of contact hours/credits/units
awarded by the recognized provider.
Activities NOT acceptable.
n Other certification/credentials awarded
n Elected office or serving on Boards and/or
Committees
n Journal clubs or professional reading
n Posters or poster sessions and exhibits
n Preceptorships or mentor hours (Exception
– See Expanded Activities – Table B)
n Research
n Volunteer activities
2021 Renewal by Continuing EducationTable B. Expanded Activities - Additional Information/Requirements
Documentation for
Category Category Hour Definition Hours Required/Allowed Requirements Audit and Grace Period
Application
Academic One semester credit = 15 n No minimum required n
Offered through an accredited n
Supporting documents,
Coursework hours of formal continuing n
Can mix and match with other college or university such as a transcript(s)
education activity non-formal categories n
Content must be applicable to showing the number
n
Maximum if only use this non- diabetes of academic credits,
Repeat courses are not
formal category: 2 semester credit n sponsoring organization etc.
hours (30 CE hours) accepted for certification n
Title must clarify content
renewal. CDCESs may claim applicable to diabetes or
credit for a specific course only additional information to
once, even if they took that verify content applicable to
course multiple times during diabetes must be provided.
their accrual cycle
Presentations One presentation = 10 hours n No minimum required n
Presents for a minimum of 45 n
Supporting documents such
of formal continuing education n
Can mix and match with other minutes as a copy of the program,
activity hours non-formal categories n
Content must be applicable to abstract, objectives, course
n
Maximum if only utilizing this non- diabetes content, as well as evidence
formal category: 3 presentations n
Delivered in a structured that the individual actually
(30 CE hours) teaching/learning framework as presented the topic.
part of conference, seminar, or n Proof that continuing
teleconference where continuing education credits were
education credits are awarded awarded to attendees.
13
to attendees
n
Original presentation; repeat
or modified presentations of
previous presentations cannot
be counted
n
Excludes poster presentations
Publications One publication = 10 hours of n No minimum required n
Author of one peer-reviewed n
Supporting documents, such
formal continuing education n
Can mix and match with other article or book chapter related to as cover page with author’s
activity hours non-formal categories diabetes name, abstract or actual
n
Maximum if only utilizing this non- copy of the entire article
formal category: 3 publications or chapter, indicating peer
(30 CE hours) review.
Service as One completed partnership n No minimum required n
Verification of completion of n
Diabetes Education
Mentor in experience = 10 hours of n
Can mix and match with other mentor/mentee partnership Mentorship Program
CBDCE formal continuing education non-formal categories during their accrual cycle Experience Verification
Mentorship activity hours n
Maximum if only utilizing this non- Document
Program formal category: 3 mentees (30
2021 Renewal by Continuing Education
CE hours)
APPENDICES2021 Renewal by Continuing Education
5. Formal Activities - Recognized Continuing Education Providers*
Continuing education activities must be provided by or approved by one of the following:
American Association of Diabetes Educators (AADE) https://www.diabeteseducator.org/education
American Diabetes Association (ADA) https://professional.diabetes.org/continuing-education/
Academy of Nutrition and Dietetics (ACADEMY) https://www.eatrightstore.org/cpe-opportunities
Accreditation Council for Pharmacy Education (ACPE) Accredited or Approved Providers
http://www.acpe-accredit.org/
Accreditation Council for Continuing Medical Education (ACCME-AMA) Accredited or Approved Providers
http://www.accme.org/
American Nurses Credentialing Center (ANCC) Accredited or Approved Providers
https://www.nursingworld.org/Organizational-Programs/Accreditation/Find-an-Accredited-Organization
American Academy of Family Physicians (AAFP) http://www.aafp.org/cme.html
American Association of Nurse Practitioners (AANP)
http://www.aanp.org/education/continuing-education-ce/ce-opportunities
American Academy of Optometry (AAO) http://www.aaopt.org/
American Academy of PAs (AAPA) https://www.aapa.org/learning-central/
American Association of Clinical Endocrinologists (AACE) https://www.aace.com/
American College of Endocrinology (ACE) https://www.aace.com/college/
American College of Sports Medicine (ACSM) https://www.acsm.org/learn-develop-professionally/ceonline2/
American Medical Association (AMA) https://www.ama-assn.org/education-center
American Nurses Association (ANA) https://www.nursingworld.org/education-events/
American Occupational Therapy Association (AOTA) http://www.aota.org/Education-Careers/Continuing-Education.aspx
American Physical Therapy Association (APTA) http://www.apta.org/CareersEducation/
American Psychological Association (APA) http://www.apa.org/ed/ce/index.aspx
Commission on Dietetic Registration (CDR) Accredited or Approved Providers
https://www.cdrnet.org/products/continuing-professional-development-education
Council on Continuing Medical Education (CCME-AOA) Approved Sponsors https://www.osteopathic.org/cme/
Council on Podiatric Medical Education (CPME-APMA) Approved Sponsors
http://www.cpme.org/education/content.cfm?ItemNumber=2422&navItemNumber=2237
International Diabetes Federation (IDF) http://www.idf.org/
National Association of Clinical Nurse Specialists (NACNS) https://nacns.org/professional-resources/education/
National Association of Social Workers (NASW) https://www.socialworkers.org/careers/continuing-education
National Commission for Health Education Credentialing (NCHEC) Designated Providers
https://www.nchec.org/continuing-education
Continuing education hours from accredited academic institutions within the United States or its territories granting
degrees related to professional practice are also accepted. Contact the CBDCE national office for information.
APPENDICES
* NOTE: The links to the various organizations on the list are provided as a courtesy, and though all attempts are made to ensure
the links are viable, CBDCE is not responsible for links that may be incorrect or become inactive. In addition, though CBDCE
may have a professional relationship with any number of these organizations, CBDCE is separate and autonomous from all of the
organizations included on the list.
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