Policy to Payment Roadmap

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Policy to Payment Roadmap


A Roadmap for States to Implement the National DPP Lifestyle Change Program as a Medicaid Benefit


The Policy to Payment Roadmap below contains activities that lead to coverage and operationalization of the National Diabetes Prevention Program (National DPP) lifestyle change program. The intended audiences for this resource are state Medicaid agencies and state public health departments. The roadmap is also intended to serve as an informational resource for CDC-recognized organizations, managed care organizations (MCOs), and health care providers.

States have flexibility in how to approach seeking and operationalizing coverage of the National DPP lifestyle change program. The Policy to Payment Roadmap captures many of the steps pursued by states that have achieved Medicaid coverage of the program. However, each state journey is unique, including the order in which the steps occur. To learn more about how other states have achieved Medicaid coverage of the National DPP lifestyle change program, visit the State Medicaid Coverage section of the Participating Payers page and the State Stories page of the Coverage Toolkit.

Hover over the green plus signs on the billboards below to learn more and to see links to relevant Coverage Toolkit pages.

A downloadable version of the roadmap is available here.

Content Updated: February 22, 2024