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News & Press: Diabetes

Coming in June: Online National DPP Coverage Toolkit

Saturday, May 13, 2017   (0 Comments)

NACDD is overseeing a two-year demonstration project in Maryland and Oregon to test coverage models for the National DPP in Medicaid. “The National Association of Chronic Disease Directors is thrilled to release the National DPP Coverage Toolkit as part of this project,” said Kelly McCracken, an Association consultant who oversees the project. “Our goal is to have this online toolkit serve as a resource for states that want to explore, move forward with, and sustain Medicaid coverage for the National DPP. It also provides information and resources for employers and commercial health plans interested in covering the National DPP.”

In addition to Maryland and Oregan, 11 states (Arizona, Illinois, Louisiana, Minnesota, Missouri, Montana, New Jersey, Rhode Island, Texas, Washington, and West Virginia), the Los Angeles County Public Health Department, and the Illinois Public Health Institute were selected to participate in a series of six virtual learning collaboratives designed to promote collaboration both within and among states seeking to support Medicaid coverage for the National DPP. The virtual series guides participants through the features of the online toolkit and addresses everything from a basic overview of the National DPP to specifics for program delivery, reimbursement, and contracting issues. McCracken adds, “The toolkit is designed to provide answers to common questions public and private payers ask about the program, such as how to determine eligibility, how to code and bill, how to represent the program’s services in contract language, and how to calculate the medical loss ratio, among others.”

The National DPP Coverage Toolkit Webinar took place on June 22, 2017, and marked the official national launch of the toolkit.

In addition, work is progressing in the demonstration states. Three of Maryland Medicaid’s four participating managed care organizations and two of Oregon Medicaid’s three Coordinated Care Organizations are enrolling eligible Medicaid beneficiaries into both virtual and community based lifestyle change programs. As of early April 2017, Maryland had enrolled 96 participants and Oregon had enrolled 50. Contact Kelly McCracken for more information on the Diabetes Coverage Toolkit and the demonstration project.

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