Medicare → MDPP Implementation Resources

 

Medicare Diabetes Prevention Program (MDPP) Implementation Resources

 

The following webinars and resources were developed as part of technical assistance for MDPP suppliers through funding and support by the Centers for Disease Control and Prevention (CDC) and implemented by the National Association of Chronic Disease Directors (NACDD). Some of the webinars and resources were developed in collaboration with the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA). Webinar and resource topics include referrals and recruitment, marketing, promoting the MDPP during the public health emergency (PHE), working with Medicare Advantage (MA) plans, and billing and claims.

To find more information about the MDPP and additional resources, visit our MDPP Basics page or CMS MDPP page.

This page contains the following topics:

  1. MDPP Webinars and Resources
  2. MDPP and State Health Departments
  3. MDPP and Health Care Providers

COMING SOON:

Through funding from CDC, NACDD has been working with CreateApe, a digital product and website design company, to develop a new site to support planning for successful MDPP implementation. The website will host interactive web-based MDPP Planning Tools, developed based on feedback and beta testing from over 50 MDPP suppliers. In the coming months, please stay tuned for an announcement and link on this page to access the new MDPP Planning Tools website!

MDPP Webinars and Resources

CDC, CMS, AMA, NACDD, and other partners have worked collaboratively to host various informational webinars and learning opportunities geared towards promoting the MDPP. Please note that the resources below were developed for a specific technical assistance opportunity and often include titles and dates associated with that purpose; however, they can and should be used by any MDPP supplier interested in learning more about how to be successful offering the MDPP.

The table below is organized by topic and lists the webinars with accompanying resources for each category.

Billing and Claims

Webinars:
  • MDPP Supplier Learning Series Billing Workshop Part 1 – On September 22nd, 2021, CDC, CMS, and NACDD hosted part 1 of a 2-part webinar series focused on increasing general knowledge about the MDPP billing and claims processes. Part 1 specifically looked at how MDPP enrollment and the PECOS application processes impact billing.
  • MDPP Supplier Learning Series Billing Workshop Part 2 – On November 10th, 2021, CDC, CMS, and NACDD hosted part 2 of a 2-part webinar series focused on increasing general knowledge about the MDPP billing and claims processes. Part 2 specifically looked at the process for submitting a successful MDPP claim to CMS.
Resources:
  • Working with a Billing Vendor to Refine Electronic Health Record (EHR) Billing Processes for MDPP – Developed in the fall of 2022 from interviews with MDPP suppliers who were also participating in the MDPP Enrollment Project (please visit the NACDD MDPP Technical Assistance Offering Page to learn more about this project), this resource provides information on how MDPP suppliers can work with third-party billing vendors to improve EHR billing processes.
  • MDPP Barriers and Potential Solutions – Developed from presentations during an informational webinar held on December 8th, 2021, where MDPP suppliers shared learnings on how to overcome challenges encountered when implementing and sustaining the MDPP. This resource details strategies shared to overcoming barriers with billing and claims, addressing differences between MDPP and the Diabetes Prevention Recognition Program (DPRP) standards, switching between delivery modalities, addressing administrative burdens, and sustainability.
  • MDPP Billing Workshop FAQ – Developed from a 2-part webinar series focused on increasing general knowledge about the MDPP billing and claims processes on September 22nd, 2021, and November 10th, 2021. This resource details attendee questions and answers from the webinar series.
  • MDPP Enrollment Preparation Guide – Developed by CMS, this resource outlines the steps that organizations with preliminary or full CDC DPRP recognition status can follow to become an MDPP supplier.

Referrals

Webinars:
  • Creating Electronic Medical Records (EMR) Referral Pathways for the MDPP Informational Webinars (Part 1 and Part 2) – On February 10th and 17th 2023, NACDD and Welld Health hosted a two-part series focused on how MDPP suppliers can create new referral pathways for the program, including creating a referral pathway through an EMR system. Part 1 focuses on how to establish and grow a referral network, and Part 2 focuses on designing and implementing referral pathways with clinical partners.
  • AMA Referrals Technical Assistance Informational Webinar – On February 23rd, 2021, CDC and NACDD hosted an informational webinar where AMA presented on increasing referrals into the MDPP.
  • Beneficiary Recruitment and Referral Informational Webinar – On October 20th, 2020, CMS, CDC, and NACDD hosted an informational webinar where various presenters shared best practices and strategies to overcoming barriers for recruitment and referral efforts.
Resources:
  • Creating EMR Referral Pathways for MDPP Summary – Developed from a two-part informational webinar series held on February 10th and 17th, 2023, this resource describes how MDPP suppliers can create new referral pathways for the program, including creating a referral pathway through an EMR system.
  • Preventing Diabetes in Your Medicare Population Video – The AMA Ed Hub™ created a 4-minute overview for healthcare providers that explains Medicare DPP services, beneficiary eligibility, and the benefits of referring patients to the program.
  • MDPP Beneficiary Recruitment Summary – Developed from an informational webinar held on October 20th, 2020, this resource details strategies to increase recruitment into the MDPP. Various presenters shared information regarding targeted outreach campaigns, outreach to senior centers, identifying a clinical champion, and hosting an orientation or session zero. This resource was processed through CMS clearance and can also be found on the CMS MDPP page.
  • MDPP Beneficiary Referrals Summary – Developed from an informational webinar held on October 20th, 2020, this resource details strategies shared by various presenters on how to increase referrals into the MDPP. Ideas include building relationships with health care providers, optimizing your electronic health record (EHR), utilizing community advisory boards and community partnerships, and conducting primary care provider (PCP) letter campaigns. This resource was processed through CMS clearance and can also be found on the CMS MDPP page.
  • MDPP Referrals Breakout Sessions Summary – Developed from breakout sessions during an informational webinar held on May 18th, 2021, where MDPP suppliers discussed together how to generate referrals into the MDPP. This resource details strategies shared to overcoming barriers with patient identification, referrals, and clinical team engagement.
  • Turning Referrals into Enrollment Summary – Developed from breakout sessions during an informational webinar held on October 4th, 2021, this resource details various best practices shared between MDPP suppliers for turning referrals into enrollment as well as possible solutions to barriers preventing an increase in enrollment.

Marketing

Webinars:
Resources:

Populations of Focus

Webinars:
Resources:

Working with MA Plans

Webinars:
  • MDPP and MA Plans Webinar – On December 15th, 2022, on behalf of NACDD, Welld Health presented a webinar focused on increasing general knowledge about MA plans and the different ways to work with them to successfully bill for MDPP services.
  • Working with MA Plans Informational Webinar – On April 28th, 2021, CDC, CMS, and NACDD hosted a webinar which provided an overview of MA plans and the MDPP as well as tips for contracting with and billing MA plans, and offered ways to address challenges when working with MA plans from experienced MDPP suppliers.
Resources:
  • MA Plan Finder and Beneficiary Estimation Instruction Guide – To seek reimbursement from MA plans, MDPP suppliers may need to contract with a specific plan and may be paid a negotiated payment rate for their services. This guide was developed to help programs find out 1) which MA plan(s) are in their geographic region and 2) approximately how many beneficiaries are enrolled in each plan.
  • MDPP and MA Plans Summary – Developed from an NACDD-hosted informational webinar on December 15th, 2022, during which Welld Health discussed MA plans and the different ways to work with them to successfully bill for MDPP services.
  • Working with MA Plans Summary – Developed from an informational webinar held on April 28th, 2021, this resource includes eight sections that detail information shared by various presenters including what MA is and how MDPP suppliers can contract and work with MA plans to increase MDPP enrollment. This resource was processed through CMS clearance and can also be found on the CMS MDPP page.

MDPP During the PHE

Webinars:
Resources:
  • CMS Extends the MDPP Expanded Model’s Public Health Emergency Flexibilities – As outlined in a notice published in the Federal Register on April 28, 2023, CMS will allow all MDPP suppliers to continue to use specific MDPP COVID-19 PHE flexibilities, specifically the virtual delivery of the MDPP services, through December 31, 2023. Questions may be submitted through the MDPP Supplier Support Portal. More information on the MDPP flexibilities allowed during the PHE can be found here.
  • MDPP Expanded Model PHE Flexibilities FAQ – On March 30, 2020 in an interim final rule with comment period, CMS issued regulatory flexibilities for the MDPP expanded model in response to the COVID-19 PHE, and this FAQ answers common questions CMS received from stakeholders.
  • Navigating Your MDPP During the PHE Summary – Developed from an informational webinar held on January 19th, 2021, various presenters shared how they have continued to offer the MDPP during the PHE. This resource details options for transitioning to virtual delivery, adapting to a new normal, and how to thrive not just survive during the PHE. This resource was processed through CMS clearance and can also be found on the CMS MDPP page.

Physician Fee Schedules

Webinars:
  • 2022 Physician Fee Schedule (PFS) and MDPP Basics Webinar – On December 13th, 2021, CDC and NACDD hosted an informational webinar on the final policies for the MDPP expanded model outlined in the 2022 PFS. These changes are scheduled to begin on January 1st, 2022. This webinar also reviewed MDPP services in general and how they will be affected by the final policies outlined in the 2022 PFS.
Resources:
  • CMS Calendar Year MDPP Payment Rates – Updated annually, the current MDPP payment rate changes include increased rates due to inflation that are reflected throughout the 12 months of the program.
  • Final Policies for the MDPP Expanded Model FAQ – This FAQ outlines the finalized changes to the MDPP expanded model issued in the 2022 PFS intended to boost supplier enrollment, with a goal of increasing beneficiary participation and access to services that can help them develop and maintain healthy behaviors to prevent onset of type 2 diabetes.
  • 2022 PFS – On November 2, 2021, CMS issued the Calendar Year (CY) 2022 PFS final rule, which includes finalized changes to the MDPP expanded model on pages 961 – 990. These changes are scheduled to begin on January 1st, 2022.

Additional Resources

Resources:
  • MDPP All Project Call and Summary – On June 26th, 2023, NACDD hosted a call that promoted the sharing of best practices from various MDPP technical assistance offerings available to state health departments and MDPP suppliers. Participants provided an overview of successful initiatives to increase enrollment to and payment for the MDPP, and NACDD consultants reviewed available MDPP resources. CDC provided perspective on the program, and CMS joined to answer MDPP supplier’s questions.
  • MDPP Enrollment Project Small Team TA Summary (2023) – As part of the MDPP Enrollment Project (please visit the NACDD MDPP Technical Assistance Offering Page to learn more about this project), NACDD selected a few MDPP Enrollment Project supplier awardees to serve as mentors and lead small group technical assistance calls, called “Small Team Technical Assistance (TA).” This summary resource describes the information that was shared during the Small Team TA meetings, and provides resources and solutions discussed in relation to each barrier. Information is categorized by topic area.
  • Spotlight on the Oregon Wellness Network: Partnership Development – Developed in the spring of 2023 from an interview with an MDPP supplier, the Oregon Wellness Network (OWN), that participated in the MDPP Enrollment Project (please visit the NACDD MDPP Technical Assistance Offering Page to learn more about this project), this resource provides information on how OWN works with partners and builds lasting relationships that further diabetes prevention efforts in the state of Oregon.
  • MDPP Capacity Assessment – Developed in the spring of 2023 with input from experienced MDPP suppliers, this tool is designed to help CDC-recognized organizations assess their capacity and readiness to become an MDPP supplier or to implement the MDPP. This tool can also be used by umbrella hub organizations (UHOs) to assess the capacity of potential subsidiaries (to learn more about UHOs, please visit the Umbrella Hub Arrangements pages of the Coverage Toolkit).
  • MDPP Enrollment Plan Template – Developed in 2023 with input from experienced MDPP suppliers, this tool is intended to help MDPP suppliers create an individualized MDPP implementation plan to increase beneficiary enrollment. This template can also be used to set and track goals, and to engage leadership around needed supports and future planning. This tool can also be used by umbrella hub organizations (UHOs) to assess the capacity of potential subsidiaries (to learn more about UHOs, please visit the Umbrella Hub Arrangements pages of the Coverage Toolkit).
  • Working with MACs – Developed from presentations during an informational webinar held on January 19th, 2022, where discussions focused on the basic functions and operations of a Medicare Administrative Contractor (MAC) and how they work with MDPP suppliers. This resource details what a MAC is along with the services they offer, best practices for working with a MAC, and resources to utilize when working with a MAC.

MDPP and State Health Departments

Successful implementation of the MDPP is a priority for state health departments (SHD). It is important for MDPP suppliers to know the roles of SHDs and learn more about how SHDs can support both suppliers and beneficiaries in their state. Please find the SHD Roles for Supporting MDPP Suppliers document, which reviews the ways in which SHDs can support the MDPP.

With support from CDC, NACDD helps increase access to and utilization of the MDPP by providing technical assistance to CDC-recognized organizations and SHDs. As part of this technical assistance, NACDD supports CDC-recognized organizations becoming Medicare suppliers, enrolling participants, and submitting claims. NACDD also supports SHD staff and national organization staff who in turn support the CDC-recognized organizations in their state. Visit the NACDD MDPP Technical Assistance Offering Page to learn more.

For those who would like an introduction to the MDPP or would like help with specific activities such as presenting the MDPP to leadership, onboarding new staff, or working with Medicare Advantage plans, below is a quick (~10 minute) video that reviews the basics of MDPP.

MDPP and Health Care Providers

These videos were developed to encourage health care teams to work together and with their patients to identify prediabetes and increase referrals to the National DPP lifestyle change program. These videos were created by NACDD in collaboration with the AMA and through support from the CDC, Division of Diabetes Translation.

Team-Based Care: Clinical Care Management and the National DPP

Clinical-Care-Management-Icon

This video, based in a hospital, highlights the responsibility of care management in implementing and sustaining effective diabetes prevention strategies by health care providers, including referrals to the National DPP lifestyle change program.

Timing: 3:18 (Note: both Team-Based Care videos are the same until 1:16)

Audience: Clinical Care team (physician, medical assistant, front desk staff, care manager, practice manager, care coordinator, nurse, provider, etc.)

Team-Based Care: Clinical Care Team Roles and Responsibilities for Diabetes Prevention

Clinical-Care-Team-Roles-and-Responsibilities-Icon

This video, based in a clinical setting, explores the different roles health care team members can play in identifying patients with prediabetes and providing care and follow-up, including referrals to the National DPP lifestyle change program.

Timing: 4:05 (Note: both Team-Based Care videos are the same until 1:16)

Audience: Clinical Care team (physician, medical assistant, front desk staff, care manager, practice manager, care coordinator, nurse, provider, etc.)

Clinical Care: Prediabetes Identification and Treatment

Clinical-Care-Prediabetes-and-Treatment-Icon

This video illustrates how health care providers can help their patients address prediabetes through referral to the National DPP lifestyle change program.

Timing: 4:18

Audience: Clinical Care team (physician, nurse practitioner, physician’s assistant, nurse, medical assistance, care manager, care coordinator, etc.)

Content Updated: September 28, 2023
National DPP Coverage Toolkit Copyright 2023