Medicaid Coverage for the National DPP Demonstration Project
The Medicaid Coverage for the National DPP demonstration project, led by NACDD and supported by the Division of Diabetes Translation at the CDC, is nearing an end. Throughout the course of this demonstration, approximately 1,000 Medicaid beneficiaries enrolled in the National DPP lifestyle change program in Maryland and Oregon. With data collection complete, both states are now focused on the long-term sustainability of the program in Medicaid and beyond. NACDD, along with RTI International, is assessing the process for Medicaid coverage and delivery, analyzing the cost of different delivery models, and evaluating enrollment, engagement, and retention strategies, and participant outcomes. Evaluation results will be available in January 2019. For more information, contact Kelly McCracken.
National DPP Coverage Toolkit: Prospective Contract Components
Drawing up a contract is an important part of implementing the National DPP lifestyle change program. Accordingly, one of the latest updates to the National DPP Coverage Toolkit is providing sample contract components and language for different payer types and delivery organizations. Contract elements will differ depending on the contracting parties, but all likely will include a description of covered services, eligibility requirements, expectations regarding program promotion and enrollment, data sharing and reporting, and reimbursement rates.
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Prospective contract components are available for agreements between the following parties:
- A state Medicaid agency and a Medicaid managed care organization
- A Medicaid payer and a CDC-recognized organization
- A commercial payer and a CDC-recognized organization
These documents are meant to be educational in nature; organizations are urged to consult with an attorney or contract specialist when establishing such an agreement. For more information, contact Kelly McCracken.