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State Stories of Medicaid Coverage

Several states have elected to cover the National Diabetes Prevention Program (National DPP) lifestyle change program as a Medicaid covered benefit. The approaches these states took to achieve coverage may help other states think about how they could cover the lifestyle change program in their state Medicaid program. Click on a state below to learn more.

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Learn how California used legislation and a state plan amendment (SPA) to move forward with Medicaid coverage of the National DPP lifestyle change program within the Medi-Cal fee-for-service (FFS) and managed care delivery systems.

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NACDD, with funding from CDC, led the Medicaid Coverage for the National DPP Demonstration Project with Maryland and Oregon to show how state Medicaid agencies and state health departments can collaborate to implement, deliver, and sustain coverage of the National DPP lifestyle change program. This page describes how the Demonstration was implemented in Maryland and their plan for ongoing sustainability of the program beyond the Demonstration.

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Learn how Minnesota used its existing Medicaid State Plan to secure federal Medicaid matching funds for the National DPP lifestyle change program, and how it uses community health workers (CHWs) as lifestyle coaches.

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Learn how Montana used a SPA to move forward with Medicaid coverage of the National DPP lifestyle change program, and about Montana’s use of telehealth delivery of the program.

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Learn about New York State’s road to Medicaid coverage of the National DPP lifestyle change program, including its use of state legislation and a SPA.

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NACDD, with funding from CDC, led the Medicaid Coverage for the National DPP Demonstration Project with Maryland and Oregon to show how state Medicaid agencies and state health departments can collaborate to implement, deliver, and sustain coverage of the National DPP lifestyle change program. This page describes how the Demonstration was implemented in Oregon and their plan for ongoing sustainability of the program beyond the Demonstration.

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Learn how Pennsylvania is using a pilot with managed care organizations (MCOs) to offer the National DPP lifestyle change program to Medicaid beneficiaries.

Content Last Updated: April 23, 2020