Medicare Diabetes Prevention Program

Diabetes Prevention

Do you have patients who are at risk for diabetes?

They may be eligible to enroll in the Medicare Diabetes Prevention Program (MDPP). Patients in the program can reduce their risk of diabetes through lifestyle support and coaching for up to 12 months at no cost (once per lifetime).

Learn more: Visit the Centers for Medicare & Medicaid Services (CMS) website.

Who’s eligible?

Your HMSA Akamai Advantage® patients who meet all of the following criteria:

• Met 1 of 3 blood test requirements within 12 months of their first session:
  • Hemoglobin A1c test with value between 5.7% and 6.4%
  • Fasting plasma glucose test of 110-125 mg/dL
  • 2-hour plasma glucose test (oral glucose tolerance test) of 140-199 mg/dL
• Body Mass Index (BMI) of at least 25 (23 if patient self-identifies as Asian)
• No history of type 1 or type 2 diabetes
• Never been diagnosed with ESRD
• No previous MDPP services

For more information on MDPP, refer to the resources below.

Find a Centers for Disease Control and Prevention (CDC) accredited program

Visit the CDC website.

Hawaii Department of Health resources

Visit the state DOH website for a sample referral form and more information.

Interested in being an MDPP service provider?

Register with the CDC and CMS. Get started using the MDPP Orientation Roadmap [PDF].

Want to join HMSA’s provider network?

Visit Apply to HMSA.

Already an HMSA provider?

Call HMSA Provider Services to register as an MDPP provider at 808-948-6820 on Oahu or 1-877-304-4672 toll-free on the Neighbor Islands.

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