Determining Which Providers Can Deliver and be Reimbursed for the National DPP in Medicaid
January 3, 2025

“Determining Which Providers Can Deliver and be Reimbursed for the National DPP in Medicaid,” the new title of this overhauled page, is one of the most important decisions a state makes in regard to operationalizing the benefit. The following information was added to this page to help with that decision:

  • The pros and cons of using an existing provider type vs. a new provider type
  • Information about the use of a National Provider Identifier or NPI
  • The difference between billing and rendering providers
  • Considerations for managed care
  • State examples for California, Maryland, Montana, and Oregon

State examples for California, Maryland, Montana, and Oregon