PUBLIC HEALTH
to change but can be found at https://www.cdc.gov/diabetes/pre-
vention/pdf/dprp-standards.pdf (5.) The content of the programs is
proscribed and is focused on lifestyle modifications including weight
management and exercise. Since it is prediabetes, medication is not
part of the program. The Medicare-specified curriculum is listed
in the attached table. In Kentucky there are new programs that can
create an alliance between practicing physicians and community
resources, such as the Kentucky Diabetes Control and Prevention
Program (6.) Together we can blunt the impact of the impending
diabetes tsunami.
Dr. James is the Senior Medical Director for Highmark Inc. in Pittsburgh,
PA.
Citations:
1
National Diabetes Prevention Program, Center for Disease Control
and Prevention https://www.cdc.gov/diabetes/prevention/index.html
Accessed April 9, 2017
MEDICARE COVERAGE
DESCRIPTION OF THE
FOR PRE-DIABETES PRE-
PROGRAM BENEFIT
VENTION IN JAN. 2018
Eligible for the Medicare benefit
for Pre-Diabetes Program if:
• Enrolled in Medicare Part B;
• Have, as of the date of
attendance at the first core
session, a body mass index
(BMI) of at least 25 if not
self-identified as Asian or a
BMI of at least 23 if self-
identified as Asian;
• Have, within the 12
months prior to attending
the first core session, a
hemoglobin A1c test with a
value between 5.7 and 6.4
percent, a fasting plasma
glucose of 110-125 mg/dL, or
a 2-hour plasma glucose of
140-199 mg/dL (oral glucose
tolerance test);
• Have no previous diagnosis
of type 1 or type 2 diabetes
with the exception of
gestational diabetes; and
•
Do not have end-stage renal
disease (ESRD).
• The MDPP core
benefit is a 12-month
intervention that
consists of at least 16
weekly core hour-
long sessions, over
months 1-6, and at
least 6 monthly core
maintenance sessions
over months 6-12,
furnished regardless of
weight loss.
• Beneficiaries have
access to three
month intervals of
ongoing maintenance
sessions after the core
12-month intervention
if they achieve and
maintain the required
minimum weight
loss of 5 percent in
the preceding three
months
• MDPP was finalized
as an additional
preventive service,
Medicare cost-sharing
will not apply to MDPP
services
2
3
4
5
6
Advocating for Diabetes Prevention, https://www.ama-assn.org/deliver-
ing-care/advocating-diabetes-prevention Accessed April 9, 2017
Prediabetes, patient education center, practice resources, American
College of Physicians https://www.acponline.org/practice-resources/
patient-education/online-resources/prediabetes Accessed April 9, 2017
Medicare Diabetes Prevention Program (MDPP) Expanded Model, Cen-
ters for Medicare and Medicaid Services, https://innovation.cms.gov/ini-
tiatives/medicare-diabetes-prevention-program/ Accessed April 9, 2017
Centers for Disease and Prevention Diabetes Prevention Recognition
Program: Standards and Operating Procedures https://www.cdc.gov/
diabetes/prevention/pdf/dprp-standards.pdf Accessed April 9, 2017
Kentucky Diabetes Prevention and Control Program, http://chfs.ky.gov/
nr/rdonlyres/a1a0ae8f-c15f-45ae-9d18-e0522432b7ce/0/kdpcpintroduc-
tionfromtheresarenn611.pdf Accessed April 9, 2017
*NOTE: KDKA’s sister radio station was the first commercial radio
station in the country.
CMS CURRICULUM FOR
DIABETES PREVENTION PROGRAM
During the first six months (weeks 1-26) of the lifestyle intervention,
all 16 sessions of these curriculum topics must be covered.
1. Welcome to the National Diabetes Prevention Program
2. Self-Monitoring Weight and Food Intake
3. Eating Less
4. Healthy Eating
5. Introduction to Physical Activity (Move Those Muscles)
6. Overcoming Barriers to Physical Activity (Being Active—A Way of
Life)
7. Balancing Calorie Intake and O utput
8. Environmental Cues to Eating and Physical Activity
9. Problem Solving
10. Strategies for Healthy Eating Out
11. Reversing Negative Thoughts
12. Dealing with Slips in Lifestyle Change
13. Mixing Up Your Physical Activity: Aerobic Fitness
14. Social Cues
15. Managing Stress
16. Staying Motivated, Program Wrap Up
Curriculum Topics (Months 7-12)
1. Welcome to the Second Phase of the Program
2. Healthy Eating: Taking It One Meal at a Time
3. Making Active Choices
4. Balance Your Thoughts for Long-Term Maintenance
5. Healthy Eating With Variety and Balance
6. Handling Holidays, Vacations, and Special Events
7. More Volume , Fewer Calories (Adding Water Vegetables and Fiber)
8. Dietary Fats
9. Stress and Time Management
10. Healthy Cooking: Tips for Food Preparation and Recipe
Modification
11. Physical Activity Barriers
12. Preventing Relapse
13. Heart Health
14. Life With Type 2 Diabetes
15. Looking Back and Looking Forward
JUNE 2017
15