National DPP

About the National DPP: The National Diabetes Prevention Program—or National DPP—was created in 2010 to address the increasing burden of prediabetes and type 2 diabetes in the United States. This national effort created partnerships between public and private organizations to offer evidence-based, cost-effective interventions that help prevent type 2 diabetes in communities across the United States

Outcome: Diabetes prevention lifestyle change program can help you build healthy new habits that last a lifetime.

Who is eligible?

·         Are enrolled in Medicare Part B; Click here to see CMS’s Checking Medicare Eligibility PDF

·         BMI ≥ 25; ≥ 23 if self-identified as Asian;

·         A1c (HgA1c) between 5.7 and 6.4%, or a fasting plasma glucose of 110-125 mg/dL, or a 2-hour post-glucose challenge of 140-199 mg/dL (oral glucose tolerance test) within the previous 12M

·         Have no previous diagnosis of type 1 or type 2 diabetes with the exception of a previous diagnosis of gestational diabetes; and

·         Does not have end-stage renal disease (ESRD) at any point during the MDPP services period.

·         The MDPP benefit is available for coverage only once per lifetime.

·         Referral  : Although referrals are not required, the following referrals are allowed, as long as blood test results indicate eligibility: Self-referral from participant, community referral, Physician referral, Other health care practitioner referral

The National DPP Participating Payers: (Medicare DPP) is part of the National Diabetes Prevention Anthem Blue Cross Cigna, Humana, Medicaid, city of Houston, United for more participant