خانه خدمات منابع مدیکل برنامه پیشگیری از دیابت​​ 

برنامه پیشگیری از دیابت​​ 

زمینه​​  

California state law requires the Department of Health Care Services (DHCS) to establish the Diabetes Prevention Program (DPP) as a Medi-Cal covered benefit. Medi-Cal’s DPP benefit will be consistent with the federal Centers for Disease Control and Prevention’s (CDC’s) guidelines and will also incorporate many components of the Centers for Medicare & Medicaid Services’ (CMS’) DPP in Medicare.​​ 

DPP یک برنامه تغییر سبک زندگی مبتنی بر شواهد است که برای کمک به ذینفعان Medi-Cal با تشخیص پیش دیابت در پیشگیری یا به تاخیر انداختن شروع دیابت نوع 2 طراحی شده است. ارائه‌دهندگان Medi-Cal که برای ارائه خدمات DPP انتخاب می‌کنند، باید از راهنمایی‌های CDC پیروی کنند و در ارتباط با برنامه ملی تشخیص پیشگیری از دیابت (DPRP) شناسایی CDC را دریافت کنند. خدمات DPP از طریق مربیان همتای آموزش دیده که از برنامه درسی تایید شده توسط CDC استفاده می کنند، ارائه خواهد شد.​​ 

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, beneficiaries 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 CDC’s DPP curriculum promotes realistic lifestyle changes, emphasizing weight loss through exercise, healthy eating and behavior modification.​​ 

اطلاعیه ها​​ 

  • On September 28, 2021, DHCS held a stakeholder meeting to discuss changes to the regulatory bulletin entitled, “Updated Medi-Cal Enrollment Requirements and Procedures for Diabetes Prevention Programs.”​​ 
  • Beginning February 4, 2022, pharmacies that submit an application for enrollment can report providing DPP services in their primary application, and currently enrolled pharmacies can report providing these services by submitting a supplemental change form. The application for enrollment and supplemental change form must be submitted through the PAVE Portal.​​  
  • Additionally, in accordance with the Centers for Medicare & Medicaid Services’ Calendar Year 2022 Physician Fee Schedule Final Rule, DPP providers are no longer considered institutional providers. Therefore, all applications received on or after January 1, 2022, will no longer require an application fee.​​ 

منابع دولتی​​ 

The following are state-generated resources and reference materials for beneficiaries and providers regarding Medi-Cal’s DPP benefit:​​ 

منابع فدرال​​ 

موارد زیر منابع DPP و مواد مرجع تولید شده توسط فدرال برای ذینفعان و ارائه دهندگان است:​​