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MDPP Expanded Model

Medicare Diabetes Prevention Program (MDPP) Expanded Model

The Medicare Diabetes Prevention Program (MDPP) Expanded Model is an evidence-based behavior change intervention to delay or prevent the onset of type 2 diabetes among people with Medicare. This voluntary model was certified for expansion in 2016 and is covered under Medicare Part B as a preventive service.

Active since 2018-04-01

Innovation

MDPP is a one-year health behavior change educational program covered under Medicare Part B as a preventive service, utilizing CDC-recognized community-based organizations and coaches to deliver services in-person, via distance learning, or online.

The Problem

Nearly 1 in 2 adults aged 65 and older have prediabetes; without intervention, the prevalence and costs of treating type 2 diabetes among people with Medicare will continue to rise.

The Solution

MDPP, a one-year health behavior change educational program, has demonstrated effectiveness in delaying or preventing the onset of type 2 diabetes among people with prediabetes.

Expected Outcomes

By widely implementing this program among people with Medicare, the MDPP Expanded Model can improve health and decrease costs associated with complications of diabetes, like hypercholesterolemia or hypertension.

Strategy

Participating in the MDPP is a preventive approach to managing the risk for type 2 diabetes that empowers beneficiaries to make healthy lifestyle changes and manage their own health.

Model Goals

  • Delay or prevent the onset of type 2 diabetes among people with Medicare
  • Improve health and decrease costs associated with complications of diabetes

Patient Eligibility

Medicare beneficiaries with an indication of prediabetes who do not have a history of type 1 or 2 diabetes and do not have End-Stage Renal Disease (ESRD).

  • Must have Medicare Part B coverage
  • Must have an indication of prediabetes (via fasting plasma glucose, oral glucose tolerance test, or HbA1c test)
  • No history of type 1 or 2 diabetes (other than gestational)
  • Must not have End-Stage Renal Disease (ESRD)

Provider Eligibility

Organizations must obtain CDC preliminary or full Diabetes Prevention Recognition Program (DPRP) recognition and enroll in Medicare as an MDPP supplier.

  • Obtain CDC preliminary or full DPRP recognition
  • Enroll in Medicare as an MDPP supplier via PECOS
  • Maintain a roster of all coaches furnishing MDPP services
  • Pass high-risk screening including fingerprint-based background checks for individuals with 5% or greater ownership interest

Care Categories

Preventive Care

Type 2 Diabetes Prevention

CMS Benchmarks & Thresholds

eligibility

Minimum Ownership Interest for Fingerprinting0.05%
Medical Record Weight Validity5
ESRD Dialysis Cessation Eligibility Period12
Once-per-lifetime Limit Elimination Date2026-02-03
ESRD Kidney Transplant Eligibility Period36

financial

Minimum Payment Days for Electronic Claims14
Minimum Payment Days for Paper Claims29

operational

Corrective Action Plan Submission Timeline30
Claim Submission Time Limit1
Typical Implementation Timeline12
Time to achieve CDC Preliminary Recognition12
Coach Roster Update Timeline30
Other Enrollment Changes Update Timeline90
Application Review Time30 – 60
CMS Corrective Action Plan Decision Timeline60
Maximum MDPP Sessions per Year22
MDPP Session Timeframe12
Clean Claim Processing Time30
Number of Core Sessions16
Core Sessions Duration6
Number of Maintenance Sessions6
Session Length1
Crosswalk Submission Frequencyquarterly
PHE Flexibilities End Date2029-12-31
Record Retention Period10
Crosswalk Quarterly Due DatesJanuary 15,April 15,July 15,October 15
Maximum Virtual Make-up Sessions for Core Maintenance2
Additional Time to achieve CDC Full Recognition24
Claim Review Notification Time45
Crosswalk Initial Submission Timeline6
Maximum Virtual Make-up Sessions in Core Period4

population

Prediabetes Prevalence in Adults 65+0.5%
Typical Beneficiary Count941

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