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MLN Matters Article MM12030 (New): Updating Calendar Year (CY) 2021 Medicare Diabetes Prevention Program (MDPP) Payment Rates

This Article comprises Sub-regulatory guidance for organizations enrolled as Medicare Diabetes Prevention Program (MDPP) suppliers billing Medicare Administrative Contractors (MACs) for MDPP services provided to Medicare beneficiaries. It provides instructions for MACs and the Railroad Specialty MAC to update the MDPP Expanded Model payment rates for CY 2021. MLN Matters (MM) Articles are based on Change Requests (CRs). Special Edition (SE) Articles clarify existing policy. In this case, this Article is based on content within CR12030 that is posted on the CMS website.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 23, 2020

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.