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Medicaid Agencies

This section provides resources to state Medicaid and public health agencies interested in covering the National Diabetes Prevention Program (National DPP) lifestyle change program in Medicaid.

Download a step-by-step (PDF) summary of how Medicaid agencies can implement the National DPP lifestyle change program.

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Information in this section includes: Overview | Attaining Coverage Through a Medicaid State Plan | Attaining Coverage Through a Section 1115 Demonstration Waiver | Attaining Coverage Through Medicaid Managed Care Coverage Options

Offering the National DPP lifestyle change program as a Medicaid covered benefit is the ideal vehicle to sustain the program financially. This section provides information on ways federal Medicaid funding can be claimed for the program if the appropriate authorities or mechanisms are in place.

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Information in this section includes: Overview | Delivery Options | Screening & Identification | Recruitment & Referral | Enrollment & Retention | Network Management

This section provides information on steps Medicaid agencies should consider in offering the National DPP lifestyle change program. It also discusses practices that have been implemented in Medicaid and other contexts to enhance National DPP lifestyle change program delivery.

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Approximate costs for administering the National DPP lifestyle change program is $500. This section provides information on various program costs, reimbursement models, and how to consider these costs in rate-setting processes.

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Information in this section includes: Overview  | Coding | Billing

This section includes information on the steps and considerations associated with coding and billing for the National DPP lifestyle change program, including the ICD and CPT codes currently being used for the program and a summary of their general operations.

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This section provides information on the type of data that needs to be reported to CDC’s Diabetes Prevention Recognition Program (DPRP), information on Medicaid data and reporting standards, and information on compliance issues and standards.