Centers for Medicare and Medicaid Services (CMS) DPP Coverage

CDC's National DPP Medicaid Coverage Infographics:

July 2019 - Medicaid Coverage Demonstration Project Brief - Recruitment

July 2019 - Medicaid Coverage Demonstration Project Brief - Retention

How to become a Medicare Enrolled Supplier:

Medicare pays Medicare Diabetes Prevention Program (MDPP) suppliers to furnish group-based intervention to at-risk Medicare beneficiaries:

• Centers for Disease Control and Prevention (CDC)-approved National Diabetes Prevention Program curriculum
• Up to 2 years of sessions delivered to groups of eligible beneficiaries

Becoming a Medicare enrolled MDPP supplier:

• Obtain CDC preliminary or full recognition: Takes at least 12 months to obtain preliminary recognition and up to 24 additional months to achieve full recognition; see the Supplier Fact Sheet and CDC website for more information
• Prepare for Medicare enrollment; see the Enrollment Fact Sheet and Checklist
• Apply to become a Medicare enrolled MDPP supplier (existing Medicare providers must re-enroll), See the Enrollment Webinar Recording and Enrollment Tutorial Video
• Furnish MDPP services; see the Session Journey Map
• Submit claims to Medicare; view the Billing and Claims Webinar Recording; see the Billing and Claims Fact Sheet and Billing and Payment Quick Reference Guide

For More Information:

• MDPP Expanded Model Booklet
• Materials from Medicare Learning Network call on June 20, 2018
• MDPP webpage
• CDC - CMS Roles Fact Sheet
• Contact the MDPP Help Desk at mdpp@cms.hhs.gov