Medicare Diabetes Prevention Program Expanded Model
This revised product comprises Subregulatory Guidance for the Medicare Diabetes Prevention Program (MDPP) Expanded Model and its content is based on publicaly available content within the https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-410/subpart-B/section-410.79, https://innovation.cms.gov/innovation-models/medicare-diabetes-prevention-program/faq, https://www.cdc.gov/diabetes/prevention/pdf/Curriculum_TOC.pdf, and https://dprp.cdc.gov/.
CMS policy or operation subject matter experts also reviewed/cleared this product. This product educates health care providers about MDPP services, patient eligibility, suppliers, and payment. This product shares information on how to prevent the onset of diabetes. Revisions to this product include the following content updates:
• Updated MDPP core services period
• Added extended flexibilities for virtual sessions
• Added new coverage for A1c blood test during diabetes screening
• Added full-plus CDC recognition
• Eliminated the Medicare enrollment application fee for MDPP suppliers
• Added new 2024 HCPCS codes and payment rates
• Added new MDPP payment structure
• Added extended flexibilities for weight measurements
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 08, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.