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Diabetes Prevention Covered in 2018

Jan 25, 2017

In November, the Centers for Medicare and Medicaid Services (CMS) 2017 Physician Fee schedule was released with responses on diabetes prevention and diabetes self-management training (DSTM). AADE is pleased to see Medicare’s continued focus on ensuring that the National Diabetes Prevention Program (National DPP) will be a reimbursable benefit starting January 2018.

The DPP section of the final rule included many responses to the specific comments we submitted in September 2016. In this ruling, Medicare stated they will begin Medicare Diabetes Prevention Program (MDPP) supplier enrollment for eligible programs after the next round of rulemaking is completed in late 2017. AADE is currently preparing services to assist programs through the process of CDC Recognition and DPP implementation as well as CMS application to become an MDPP supplier.

In the DSMT section, CMS did not address our concerns on changes to the DSMT benefit. While this was not what we hoped to see, we are encouraged that CMS wants to continue to examine barriers to DSMT into 2017. AADE will continue conversations with CMS to reduce barriers and hope to see movement in the near future.

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