Medicaid Coverage for the National DPP Demonstration Project to Conclude in 2018

The Medicaid Coverage for the National Diabetes Prevention Program (National DPP) demonstration project has been ongoing for approximately the last three years and will conclude in late 2018. The National Association of Chronic Disease Directors (NACDD), with funding from the Centers for Disease Control and Prevention (CDC), has been working with two demonstration states (Maryland and Oregon) to develop and test models for implementing and delivering a sustainable coverage model for the DPP in Medicaid. The two states are working with managed care organizations (Maryland), coordinated care Organizations (Oregon), and CDC-recognized organizations to build contracting mechanisms, billing and coding guidance, and reimbursement models. The states also are developing and testing strategies to enroll, engage, and retain Medicaid beneficiaries in the National DPP lifestyle change program. Nearly 1,000 Medicaid beneficiaries have been enrolled in the program between the two states.

In addition, in collaboration with Leavitt Partners, NACDD launched the National DPP Coverage Toolkit in June 2017 to provide information about the mechanics of covering the National DPP lifestyle change program. The audience for this toolkit includes state public health officials, Medicaid, Medicaid MCOs, commercial plans, and Medicare. The toolkit’s URL recently was updated to coveragetoolkit.org; if you have visited the site previously, please clear your cache and bookmark the new site. NACDD also is working with RTI International to conduct a robust evaluation of the project, collecting data on participant satisfaction and outcomes, program structure, implementation, and cost. Data collection will continue through June 2018, and full evaluation results will be available in October 2018.