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DPP Delivery Organizations

DPP Delivery Organizations

Whether you are an existing CDC- recognized DPP or are interested in applying to become a recognized program, below are resources for organizations delivering the Centers for Disease Control and Prevention (CDC) recognized National Diabetes Prevention Program (DPP).

*If you are a person with prediabetes searching for information, please visit our People with Prediabetes page

Public Health Emergency DPP Extension through 12/31/23

The Centers for Disease Control and Prevention (CDC) Diabetes Prevention Recognition Program (DPRP) are allowing delivery mode flexibilities from the public health emergency to extend through 12/31/2023. This means that any cohorts that start on or before 12/31/23 using a delivery mode other than what has been officially approved can continue that mode until the cohort is finished.

For example, if you are only approved for in-person DPP delivery, you could start a DPP cohort on 12/31/23 that is carried out online and that cohort could stay in the online mode until it is finished. This extension also applies to Medicare DPP providers.

To confirm how this extension affects your DPP, reach out to GustafsonT2@Michigan.gov or DavenportA1@Michigan.gov.

Want to Enroll as a Michigan Medicaid DPP (MiDPP) Provider?

The MiDPP is based on the CDC’s Diabetes Prevention Recognition Program (DPRP). All organizations, wishing to become a MiDPP provider in Michigan, must first obtain recognition (preliminary, full or full plus) from CDC’s Diabetes Prevention Recognition Program.

Before enrolling as a Medicaid MiDPP provider, all organizations interested in becoming a Medicaid enrolled provider must contact MDHHS Diabetes and Kidney Unit (DKU) at MDHHS-Medicaid-DPP@michigan.gov.

All MiDPP providers must be enrolled with Community Health Automated Medicaid Processing System (CHAMPS.)  CHAMPS is the one-stop shop for provider enrollment, re-enrollment, revalidation, information updates and demographic changes. Once MDHHS DKU approves your pre-enrollment form, your organization may go ahead with provider enrollment in CHAMPS.

All MiDPP providers will need to contract directly with Medicaid Health Plans directly to submit claims to a Medicaid member’s specific health plan. As a starting point, MiDPP Providers can visit the Medicaid Health Plans Contact and Service Listing to see what Medicaid Health Plans are in their service area. Check back with this site frequently as new service areas may be approved monthly.

  • The CDC recognized National Diabetes Prevention Program is a lifestyle change program to prevent or delay type 2 diabetes. Hundreds of CDC recognized Diabetes Prevention Programs nationwide support participants in making lasting lifestyle changes, like eating healthier, adding physical activity into their daily routine, and improving coping skills.

    To ensure high quality, CDC recognizes Diabetes Prevention Programs that meet certain DPRP Standards and show they can achieve results. These standards include following an approved curriculum, facilitation by a trained lifestyle coach, and submitting data every 6 months to show that the program is having an impact.

    To find out more about CDC-recognized Diabetes Prevention Programs to prevent or delay type 2 diabetes, visit Lifestyle Change Program Details.

  • This site is managed by the CDC. The purpose of the National DPP Customer Service Center is to provide organizations who deliver the DPP easy access to training materials, toolkits, and videos; ask questions; and receive technical assistance related to all aspects of the program.

    Visit the National DPP Customer Service Center

  • To participate in a CDC-recognized Diabetes Prevention Program, participants will need to meet ALL 4 of these requirements:

    • Be 18 years or older.
    • Have a body mass index (BMI) of 25 or higher (23 or higher if Asian American).
    • Not be previously diagnosed with type 1 or type 2 diabetes.
    • Not be pregnant.

    Patients will also need to meet 1 of these requirements (unless they are enrolling in the Medicare Diabetes Prevention Program, which has different criteria):

    Had a blood test result in the prediabetes range within the last year (includes any of these tests and results):

    • Hemoglobin A1C:  5.7 - 6.4%.
    • Fasting plasma glucose:  100 - 125 mg/dL.
    • Two-hour plasma glucose (after 75 g glucose load):  140 - 199 mg/dL.
    • Be previously diagnosed with gestational diabetes.
    • Received a high-risk result (score of 5 or higher) on the Prediabetes Risk Test.   Take the Test - Prediabetes

    For updated participant eligibility criteria, review the DPRP Standards

  • This section lists current payers that cover the CDC recognized Diabetes Prevention Program for eligible participants. You can also visit Participating Payers and Employers - National DPP Coverage Toolkit for more information.

    • Commercial Health Plans in Michigan
      • Priority Health
      • Blue Cross Blue Shield of Michigan (for self-funded groups)
    • Medicare

      The Medicare DPP (MDPP) expanded model allows Medicare beneficiaries to access evidence-based diabetes prevention services with the goal of a lower rate of progression to type 2 diabetes, improved health, and reduced spending. MDPP suppliers began enrolling in Medicare on January 1, 2018 and began furnishing MDPP services and billing Medicare for MDPP services on April 1, 2018.

      To learn more or to find out how to become a MDPP supplier, visit Medicare Diabetes Prevention Program (MDPP) Expanded Model | CMS Innovation Center

    • Medicaid

      Michigan Medicaid coverage is not available at this time. Current DPP pilots with Medicaid Managed Care Plans are taking place.

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