Wellcare Dual Align (HMO D-SNP): Medicare Diabetes Prevention Program (MDPP)

A diabetes prevention program using structured health behavior change. 9 in 10 cases of diabetes can be avoided by making key lifestyle changes.

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Cost
$0
Prior Authorization Required
No
Provider Referral or Order Required
No

How To Receive

Details on how to apply

  1. Find approved MDPP suppliers enrolling participants in the local area using this Interactive Map or Finder.

  2. Contact the program and enroll.

  3. Attend all program sessions and implement recommended strategies.

Availability
Program is typically 1 year
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Medicare and Medicare Advantage cover the Medicare Diabetes Prevention Program (MDPP) once in the recipient's lifetime if all the following conditions apply:

The Diabetes Prevention Program study conducted by the National Institutes of Health (NIH) found that lifestyle changes resulting in modest weight loss sharply reduced the development of type 2 diabetes in people at high risk for the disease (people with “prediabetes”) and this resulted in the development of the Medicare Diabetes Prevention Program (MDPP).

The MDPP is a proven, structured health behavior change program to help prevent type 2 diabetes. It provides practical training in long-term dietary change, increased physical activity, and problem-solving strategies for overcoming challenges to sustain weight loss and a healthy lifestyle.

In 2022, CMS expanded the MDPP model. The program begins with 6 months of weekly group sessions. These sessions consist of:

Once the weekly sessions are completed, 6 monthly follow-up sessions are provided to help maintain healthy habits.

If the member started the MDPP in 2021 or earlier, they'll get 12 more monthly sessions if they meet specific weight loss goals. The primary goal is at least 5% weight loss.

These services are offered by approved MDPP suppliers. These suppliers may be traditional healthcare providers or entities such as community centers or faith-based organizations.

Learn more about the MDPP program and/or Find an approved MDPP supplier.

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