Medicare Diabetes Prevention Program (MDPP)

The Medicare Diabetes Prevention Program (MDPP) is an expanded model is a structured intervention with the goal of preventing type 2 diabetes in individuals with an indication of prediabetes.

• True

• False

Physician referral is required.

• True

• False

To enroll as an MDPP supplier, organizations must:

• Have MDPP preliminary recognition or full CDC DPRP recognition

• Have an active and valid TIN or NPI

• Pass enrollment screening at the high categorical risk level

• Revalidate its enrollment every five years

• All of these

Medicare enrollment for MDPP is a separate enrollment process and specialty D1 is designated for MDPP suppliers.

• True

• False

Beneficiaries that have a BMI (body mass index) of at least 25 may qualify for MDPP services.

• True

• False

How long can a beneficiary be covered for MDPP services?

• Once yearly

• Once in a beneficiary’s lifetime

MDPP services fall under mandatory assignment regulations.

• True

• False

There are no modifiers used for MDPP services.

• True

• False

The demonstration 82 shall be submitted on all claims.

• True

• False

Coaches affiliated with the MDPP supplier are not issued Provider Transaction Access Numbers (PTANS).

• True

• False