Accessing Eligibility for MDPP in NGSConnex

Select Medicare Diabetes Prevention Program from the left-side navigation.

The Medicare Diabetes Prevention Program expanded model is a structured intervention with the goal of preventing type 2 diabetes in individuals with an indication of prediabetes. Medicare beneficiaries who are currently enrolled in Medicare Part B and meet specific clinical requirements are eligible to participate in the program.

Deductible and Co-insurance is not applicable for Medicare Diabetes Prevent Program services.

The following information will be provided:

• Procedure and Description
• Date of Service
• Rendering NPI

You can obtain additional information regarding the MDPP program in the Medicare Diabetes Prevention Program manual.

Reviewed 9/19/2024