Medicaid MCOs → Contracting
Medicaid managed care organizations (MCOs) offering the National Diabetes Prevention Program (National DPP) lifestyle change program will need to work with the state Medicaid agency to set rates, establish cost reporting expectations, and secure amendments to existing contracts. This section provides sample contract language for state MCO contracts and contracts between the MCO and CDC-recognized organizations.
Contracted Medicaid MCOs in states electing to cover the National DPP lifestyle change program will need to create new or amend their existing MCO contracts, at the discretion of the state Medicaid agency. This section provides information regarding contract amendments and provides sample contract language.
Contracts between the MCO and CDC-recognized organizations should outline expectations between the parties and include National DPP lifestyle change program requirements. This section includes a list of common elements recommended for inclusion in such contracts.