The following resources provide more information for healthcare providers about the National DPP.

• CDC - Prevent T2 Lifestyle Change Program Fact Sheet
• CDC - Diabetes Prevention Resources for Health Care Professionals
• CDC - Information for Health Care Professionals (includes details about the program, why refer to a CDC – Recognized Lifestyle Change Program, Benefits to your Practice, and Program Eligibility)
• CDC - Testimonials from Health Care Professionals

The following resources provides information about billing, operating procedures and patient flow processes.

• International Classification of Disease (ICD) – 9 and ICD – 10 Billing Codes for prediabetes
• CDC - Diabetes Prevention Recognition Program (DPRP) – Standards and Operating Procedures
• CDC – Information for Health care Professionals – M.A.P. (Measure, Act, Partner) to Diabetes Prevention for your Practice
• Sample Patient Flow Process

The following resources provides public service announcements and local media outreach toolkits to increase awareness about prediabetes.

• Ad Council Campaign Information (PSA and Local Media Outreach)

The CDC has developed a specific curriculum for the National DPP, called Prevent T2. The program duration is one year and consists of two phases: the core phase (weekly sessions for 6 months) and the post-core phase (roughly monthly sessions). Documentation of body weight and documentation of physical activity are required for full recognition. The topics in the core sessions should be taught in order, but the order of the post-core sessions is flexible.

• Access Prevent T2 Curriculum and Handouts in English and Spanish
• Curriculum for the National DPP Lifestyle Change Program in other languages (Chinese, Vietnamese, Bengali, Haitian-Creole, and Korean)
• Lifestyle Change Program Intake Form
• Program Meeting Schedule
• Weight Log
• Food Log
• Fitness Log
• Action Plan

Here are some marketing resources to assist with recruiting and retaining participants and recruiting health care professionals, employers, and insurers to participate in a National DPP.

• Resources for Recruiting Participants
• Resources for Health Care Professionals
• Resources for Employers and Insurers
• Resources to Encourage Participant Retention
• Resource Guide to help address Social Needs

The following articles provide more information about National DPP in Los Angeles County.

• Ad Lucem Consulting. Scaling Diabetes Prevention Program Efforts in Los Angeles Executive Summary and Action Plan. April 15, 2016.
• Babey SH, Wolstein J, Diamant AL, Goldstein H. Prediabetes in California: Nearly Half of California Adults on Path to Diabetes. Los Angeles, CA: UCLA Center for Health Policy Research and California Center for Public Health Advocacy, 2016 March.
• DeFosset AR, Mosst JT, Gase LN, Kuo T. The Los Angeles Prevention Coalition Experience: Practical Applications of Social Network Analysis to Inform Coalition Building in Chronic Disease Prevention . Journal of Public Health Management and Practice. 2019; 0(0). DOI:10.1097/PHH.0000000000000958
• Mosst JT, DeFosset A, Gase L, Baetscher L, Kuo T. A Framework for Implementing the National Diabetes Prevention Program in Los Angeles County. Prev Chronic Dis 2017;14:160433. DOI: https://doi.org/10.5888/pcd14.160433.
• Mosst JT, DeFosset A, Sivashanmugam M. Exploring Reimbursement Options for the National Diabetes Prevention Program: Lessons Learned From a Pilot Project in Los Angeles, 2014 - 2018. Journal of Public Health Management and Practice. 2020 February 0(0): 1-7. doi: 10.1097/PHH.0000000000001136.
• Mosst JT and Kuo T. Diabetes and Prediabetes: Screening Guidelines and the Expansion of the National Diabetes Prevention Program in Los Angeles County. Los Angeles Rx For Prevention. 2017 July-August; 7(2)

The following articles are about recruitment processes, patient retention, and implementation strategies of the National Diabetes Prevention Program.

• Ackermann RT. Bridging the Why and the How of Clinical - Community Integration. American Journal of Preventative Medicine. 2013 October; 45(4):526-29. doi:10.1016/j.amepre.2013.07.003.
• Ahmad FS and Tsang T. Diabetes Prevention, Health Information Technology, and Meaningful Use Challenges and Opportunities. American Journal of Preventative Medicine 2013; 44 (4S4): s357-s363.
• Albright AL and Gregg EW. Preventing Type 2 Diabetes in Communities Across the U.S.: The National Diabetes Prevention Program. American Journal of Preventive Medicine, Advancing the Science and Practice of Diabetes Prevention April 2013; 44 (4): S346 - 51. doi:10/1016/j.amepre.2012.12.009
• Beaser RS and Brown JA. Preventive Intervention in Diabetes: A New Model for Continuing Medical Education. American Journal of Preventive Medicine, Advancing the Science and Practice of Diabetes Prevention. 2013 April; 44(4): S394 - 99. doi:10.1016/j.ampre.2013.01.003.
• Blackwell CS, Foster KA, Isom S, Katula JA, Vitolins MZ, Rosenberger EL, and Goff DC. Healthy Living Partnerships to Prevent Diabetes: Recruitment and Baseline Characteristics. Contemporary Clinical Trials. 2011 January; 32(1):40 - 49. doi:10.1016/j.cct.2010.10.006
• Boltri JM, Davis-Smith Monique, Okosun IS, Seale, JP, and Foster B. Translation of the National Institutes of Health Diabetes Prevention Program in African American Churches. Journal of the National Medical Association. 2011 March; 103 (3): 194-202
• Boltri JM, Davis-Smith Monique, Okosun IS, Seale, JP, and Foster B. Translation of the National Institutes of Health Diabetes Prevention Program in African American Churches. Journal of the National Medical Association. 2011 March; 103 (3): 194-202
• Bozack A, Millstein S, Garcel JM, Kelly K, Ruberto R, Weiss L. Implementation and Outcomes of the New York State YMCA Diabetes Prevention Program: A Multisite Community-Based Translation, 2010 - 2012. Prev Chronic Dis. 2014; 11:140006. DOI: http://dx.doi.org.10.5888/pcd11.140006
• Davis-Smith, Monique. Implementing a Diabetes Prevention Program in a Rural African-American Church. Journal of the National Medical Association, 2007; 99 (4): 440-446
• Jackson, Lindsey. Translating the Diabetes Prevention Program Into Practice: A Review of Community Interventions. The Diabetes Educator, 2009 March; 35 (2): 309–20. doi:10.1177/0145721708330153 
• Krist AH, Shenson D, Woolf SH, Bradley C, Liaw WR, Rothemich SF, Slonim A, Benson W, and Anderson LA. Clinical and Community Delivery Systems for Preventive Care: An Integration Framework. American Journal of Preventive Medicine, 2013 October; 45 (4): 508–16. doi:10.1016/j.amepre.2013.06.008
• Philis-Tsimikas, A, Gilmer TP, Schultz J, Walker C, Fortmann AL, Gallo LC. Community-Created Programs: Can They Be the Basis of Innovative Transformations in Our Health Care Practice? Implications from 15 Years of Testing, Translating, and Implementing Community-Based, Culturally Tailored Diabetes Management Programs. Clinical Diabetes. 2012, October; 30(4): 156–63. doi:10.2337/diaclin.30.4.156
• Ruggiero L, Oros S, Choi YK. Community-Based Translation of the Diabetes Prevention Program’s Lifestyle Intervention in an Underserved Latino Population.” The Diabetes Educator, 2011 July; 37 (4): 564–72. doi:10.1177/0145721711411107
• Sanders T, Vetta L, Johnson-Jennings M, Baumann AA, Proctor E. Use of Culturally Focused Theoretical Frameworks for Adapting Diabetes Prevention Programs: A Qualitative Review. Preventing Chronic Disease, 2015 May; doi:10.5888/pcd12.140421
• Schmittdiel, Julie A., Jay Desai, Emily B. Schroeder, Andrea R. Paolino, Gregory A. Nichols, Jean M. Lawrence, Patrick J. O’Connor, Kris A. Ohnsorg, Katherine M. Newton, and John F. Steiner. “Methods for Engaging Stakeholders in Comparative Effectiveness Research: A Patient-Centered Approach to Improving Diabetes Care.” Healthcare. 2015 June; 3 (2): 80–88. doi:10.1016/j.hjdsi.2015.02.005
• Taradash, J., M. Kramer, D. Molenaar, V. Arena, K. Vanderwood, and Andrea M. Kriska. “Recruitment for a Diabetes Prevention Program Translation Effort in a Worksite Setting.” Contemporary Clinical Trials. 2015 March; 41:204–10. doi:10.1016/j.cct.2015.01.010
• Venditti, Elizabeth M., and M. Kaye Kramer. “Diabetes Prevention Program Community Outreach Perspectives on Lifestyle Training and Translation.” American Journal of Preventive Medicine. 2013 April; 44 (4) Suppl 4: S339–45. doi:10.1016/j.amepre.2012.12.014

The following articles provide information on the results and effectiveness of the National Diabetes Prevention Program.

• Ali MK, Echouffo-Tcheugui JB, and Williamson DF. How Effective Were Lifestyle Interventions In Real Work Setting That Were Modeled On The Diabetes Prevention Program? Health Affairs. 2012 January; 32(1): 67 - 75. doir:10.1377/hlthaff.2011.1009
• Diabetes Prevention Program Research Group (2002). Reduction In the Incidence of Type 2 Diabetes With Lifestyle Intervention or Metformin. The New England Journal of Medicine, 2002; 346(6): 393-403.
• Kaspin, LC, Gorman KM, Miller RM. Systematic Review of Employer-Sponsored Wellness Strategies and Their Economic and Health-Related Outcomes. Population Health Management, 2012 October; 16 (1): 14–21. doi:10.1089/pop.2012.0006
• Mensa-Wilmot Y, Bowen SA, Rutledge S, Morgan JM, Bonner T, Farris K, Blacher R, Rutledge G. Early Results of States' Efforts to Support, Scale, and Sustain the National Diabetes Prevention Program. Prev Chronic Dis. 2017; 14(12):e130
• Sepah, S Cameron, Luohua Jiang, and Anne L Peters. “Long-Term Outcomes of a Web-Based Diabetes Prevention Program: 2-Year Results of a Single-Arm Longitudinal Study.” Journal of Medical Internet Research. 2015 April; 17 (4). doi:10.2196/jmir.4052
• Vojta, Deneen, Timothy B. Koehler, Matt Longjohn, Jonathan A. Lever, and Nadine F. Caputo. “A Coordinated National Model for Diabetes Prevention: Linking Health Systems to an Evidence-Based Community Program.” American Journal of Preventive Medicine. 2013 April; 44 (4): S301–6. doi:10.1016/j.amepre.2012.12.018

The following articles provide information and research about the cost savings of the National DPP.

• Ackerman, RT, David GM, Hicks KA, Hoerger TJ, Sorensen S, Zhang P, Engelgau MM, Ratner RE, and Herman WH. An Evaluation of Cost Sharing to Finance a Diet and Physical Activity Intervention to Prevent Diabetes. Diabetes Care June 2006; 29 (6): 1237 - 41. doi:10.2337dc05-1709.
• Baicker K, Cutler D, and Song Z. Workplace Wellness Programs Can Generate Savings. Health Affairs. 2010 February; 29(2): 304 - 11. doi:10.1377/hlthaff.2009.0626.
• Diabetes Prevention Program Research Group. (2003). Costs Associated With the Primary Prevention of Type 2 Diabetes Mellitus in the Diabetes Prevention Program. Diabetes Care. 2003; 26: 36-47.
• Thorpe, Kenneth E., and Zhou Yang. “Enrolling People With Prediabetes Ages 60–64 In A Proven Weight Loss Program Could Save Medicare $7 Billion Or More.” Health Affairs. 2011 September; 30 (9): 1673–79. doi:10.1377/hlthaff.2010.0944

Effective January 1, 2019, the Diabetes Prevention Program (DPP) is now a Medi-Cal covered benefit. Medi-Cal providers choosing to offer DPP services must comply with CDC guidance for the National Diabetes Prevention Recognition Program. Medi-Cal’s DPP will include a core benefit consisting of at least 22 peer-coaching sessions over 12 months, which will be provided regardless of weight loss. In addition, participants who achieve and maintain a required minimum weight loss of 5 percent from the first core session will also be eligible to receive ongoing maintenance sessions, after the 12-month core services period, to help them continue healthy lifestyle behaviors. The DPP curriculum will promote realistic lifestyle changes, emphasizing weight loss through exercise, healthy eating and behavior modification.¹

• Department of Health Care (DHCS) Diabetes Prevention Program Webpage
• Requirements for Enrollment as a DPP
• Guide for Diabetes Prevention Providers New to Medi-Cal
• Medi-Cal's Diabetes Prevention Program (DPP) Coverage Policy
• Medi-Cal Application Fee for Calendar Year 2019
• Medi-Cal Requirement to Submit Fingerprints for Criminal Background Check
• Frequently Asked Questions (FAQs) for Medi-Cal Diabetes Prevention Program (DPP) Services
• Provider Application and Validation for Enrollment (PAVE) Portal
• If you have any questions about Medi-Cal's DPP, please email DHCSDPP@dhcs.ca.gov
• To stay up-to-date with important DPP information, providers can subscribe to the Medi-Cal Subscription Services (MCSS) to receive notifications related to upcoming changes. Please complete the MCSS Subscriber Form.

How can I become a Medi-Cal DPP provider?²

Providers who are currently enrolled in Medi-Cal may request to become a DPP provider by submitting a completed Medi-Cal Supplemental Changes from (DCHS 6209). Providers requesting to add DPP services should state so. Copies of the CDC recognition letter or award must be included.

DPP Providers who wish to newly enroll in Medi-Cal for DPP will need to submit a completed Medi-Cal DPP Provider Application package, which includes:

• A cover letter expressing your request for enrollment as DPP and listing all administrative location(s) of the DPP provider,
• A copy of the DPP applicant or provider's valid, current, CDC recognition letter, or a current valid copy of their Certificate of Full CDC Recognition,
• A typed roster of all peer coaches, which includes each coach's full name, National Provider Identifier (NPI) number, full birth date, and Social Security Number,
• Providers and applicants must attach a copy of prefilled Department of Justice Request for Live Scan Service (BCIA 8016) form for each required individual with their application, date stamped and showing verification that all fees have been paid by either a "PAID" stamp from the public Live Scan operator or a receipt of payment.

When an organization receives CDC Preliminary Recognition, they can apply to become a Medicare Diabetes Prevention Program (MDPP) for reimbursement. Here are some factsheets and checklists to apply to become a MDPP provider. To get more information about this program and process, please visit the Centers for Medicare and Medicaid Services website at https://innovation.cms.gov/initiatives/medicare-diabetes-prevention-program/.

• Centers for Medicare and Medicaid Services- Medicare Diabetes Prevention Program (MDPP) Expanded Model Homepage

MDPP Orientation:

• MDPP Overview Fact Sheet
• Becoming an MDPP Supplier 101
• MDPP Orientation Roadmap
• MDPP Orientation Video
• MDPP Supplier Requirements Checklist
• MDPP Beneficiary Eligibility Fact Sheet
  

Medicare Enrollment

• MDPP Enrollment Fact Sheet
• MDPP Enrollment Video
• MDPP Enrollment Application
• MDPP Enrollment Process Timeline
• MDPP Frequently Asked Questions
• Webinar: MDPP Orientation and Enrollment Tutorial (Slides)

MDPP Billing and Payment:

• MDPP Billing and Payment Quick Reference Guide
• Billing and Claims Fact Sheet
• MDPP Billing and Payment Overview
• 2019 MDPP Payment Rates
• Crosswalk Guidance (Slides)

Currently, there are several private coverage options, such as Molina Medical, Anthem, BlueShield, and United Healthcare. Some use third party integrators. The most well-known third party integrator is Solera Health. They have partnerships with insurers to take care of the billing for National DPP services for their members,. For more specific details, visit their website, https://www.solera4me.com/.³