News from the Virginia Diabetes Council
Building the Business Case for DSME Program Webinar - July 28
Back to School Advocacy Webinar for Parents of Children with Diabetes – August 10
Early Registration Ends for Expanding Spectrum of Diabetes Care – August 12
Medicare Diabetes Prevention Program (MDPP) Model Expansion Listening Session - August 16
Virginia Diabetes Council Meeting – September 22
Latest Update on Medicare Launch of DPP in 2018
Medicare has announced they will delay the launch of the Medicare DPP until April 1, 2018, to allow sufficient number of provider to sign up. They also announced that digital providers can only offer makeup classes to the traditional, in –person programs. The rules for the implementation of the DPP Medicare benefit were announced in the 2018 Physicians Fee Schedule. CMS will accept comments on the proposed rule until September 11, 2017, and will respond to comments in a final rule. The proposed rule appears in the July 13, 2017 Federal Register and can be downloaded from the Federal Register (PDF) The DPP is a yearlong lifestyle change program that uses the CDC-approved curriculum. There are 16 weekly core sessions, followed by a monthly sessions. For more information about establishing a DPP program in Virginia Contact Alexa Painter at Virginia Center for Diabetes Prevention and Education.
Medicare Diabetes Prevention Program Model Expansion Listening Session
The Centers for Medicare & Medicaid Services (CMS) will be hosting a listening session on the Medicare Diabetes Prevention Program (MDPP) Model Expansion on Wednesday, August 16, from 1:30-3 pm EST. The 2018 Medicare Physician Fee Schedule proposed rule makes additional proposals to implement the MDPP expanded model starting in 2018, including the payment structure, as well as additional supplier enrollment requirements and supplier compliance standards to ensure program integrity. During this call, CMS experts will provide a high-level overview of the proposed policies. Participants are encouraged to review the proposed rule prior to the call. Please visit the MDPP webpage for more information.
National Diabetes Prevention Program (NDPP) Toolkit
The National Diabetes Prevention Toolkit contains resources and information on topics such as contracting, deliver, data and reporting, and billing, and coding that are designed to support health insurance plans, employers, and state Medicaid agencies in making the decision to cover the NDPP lifestyle change program. The National Diabetes Prevention Impact Toolkit will provide the health and economic effects of a National DPP or similar program on your population at risk for diabetes. Governor Michael O. Leavitt, former Health and Human Services secretary and founder for Leavitt Partners, says, “This toolkit is a tremendous resource for payers interested in covering the National DPP lifestyle change program. By focusing on prevention efforts, payers can achieve cost efficiencies and improve the quality of care for its members, two keys to success in a value-based health care economy.”
CDC’s Diabetes Prevention Program
Question and Answer Column
Do you have questions regarding the National Diabetes Prevention Program? Over the next few months we will feature a column that addresses questions about the program. Joyce Green Pastors, MS, RD, CDE, one of our VDC board members, participated in a webinar on May 24th for the Academy of Nutrition and Dietetics about diabetes prevention. We thank them for sharing information from this webinar with us.
If someone is <65 and has prediabetes but is not overweight, is he/she eligible for the program (i.e., the MDPP benefit)?
No. Medicare beneficiaries with a body mass index (BMI) of < 25 are not eligible to participate in the Medicare DPP benefit. The Medicare criteria for the Part B benefit is a BMI of ≥ 25 and abnormal blood glucose results. The Medicare DPP is an important new benefit to help Medicare beneficiaries prevent and/or delay diagnoses of diabetes, yet it does not meet the needs of all populations with prediabetes.
A note about individuals with Medicare Advantage plans or other individuals < 65 with private insurance:
It is possible that individuals with private insurance, including Medicare Advantage plans, who have prediabetes and BMI < 25, have a benefit for MNT that may cover a diagnosis of prediabetes. Individual plan benefits and coverage policies determine what services are covered benefits and terms/conditions for coverage. We encourage RDNs and organizations to confirm benefits for MNT in persons with prediabetes.
Can an RDN apply for a National Provider Identifier (NPI) number even if not planning to use it quite yet? Does it require renewal?
A registered dietitian nutritionist (RDN) can apply for an NPI at any point in time, whether for current or future use. The Academy recommends that every RDN have an NPI regardless of employment status or place of work, or whether the NPI is being used by the RDN or an organization for billing purposes. NPIs are one way to demonstrate RDN workforce availability to payers including Medicare, private payers, and state Medicaid agencies. An NPI does not require renewal and it never expires.
Nutrition and dietetics technicians, registered (NDTRs) and other nutrition and dietetics practitioners can also obtain NPIs at any time. There is a specific NPI taxonomy category for “dietetic technician, registered.” Nutrition and dietetics practitioners who are not RDNs or NDTRs can select “Health Educator” for the taxonomy. For more information on how to obtain an NPI, visit Eat right
I'm unclear as to whether each health coach needs an individual NPI or if the program can use the hospital NPI?
Each Lifestyle coach who delivers the NDPP to Medicare beneficiaries under the new Medicare benefit (MDPP) will need an individual NPI. Programs that apply to enroll as Medicare Suppliers of the MDPP are required to submit and maintain a coach roster with NPI numbers for all coaches. Individual coach NPIs will not be used for billing purposes in the MDPP. The Medicare Supplier (must be a program) will use the program NPI to submit claims to CMS.
Is it possible for someone in private practice to offer the MDPP as a solo practitioner?
Solo practitioners would need to start a National DPP and obtain full CDC Recognition to apply to enroll as a Medicare Supplier for the MDPP. Individuals in private practice can also partner with existing or new programs to provide the lifestyle coaching or serve as a program coordinator as independent contractors. The program would need to obtain the solo practitioner’s NPI for the coach roster. Medicare pays the recognized Medicare Supplier, and the program would pay the practitioner providing services for lifestyle coaching.
Diabetes Self-Management Education Services
Buidling the "Business Case" for DSME Program Webinar
July 28, 2017, 2 – 4 pm EST
Registered dietitians who attend the full webinar will receive 2 CEU credit hours. The sponsor of the webinar is <www.dietitiancentral.com>. This sponsor charges $18 per 1 CEU credit hour; thus the cost of this 2 hour webinar per attendee is $36 (even if you are not a RD), Advance Registrations required, but you can register even the day of the webinar.
This webinar details both the financial and non-financial benefits of a DSME program from the unique perspectives of each of the 8 target markets of the program: the sponsoring organization; persons with diabetes; persons with prediabetes; community people with diabetes; providers; entity’s stakeholder partners; health care insurers; and employers and their employees. First, the market-specific benefits are broadly summarized in the acronym P.R.O.P.O.S.E.. Then, Mary Ann presents the detailed benefits of a DSME program for each market, including evidence-based facts, figures and perspectives. This gives you a complete, ready-to-go, turn-key “business case” to convince management that DSME should get the green light.
This presentation also outlines the components of a DSME business plan that must be included in building the DSME business case in both current and new healthcare entities, especially patient center medical homes and accountable care organizations. Reviewed will also be the key standards of the National Committee on Quality Assurance for recognition/accreditation of these organizations, and how the DSME program will help meet these standards. By building the business case, you will prove that you are a health care professional with not only diabetes clinical skills, but also advanced business management expertise.
Target Audience: RDs, RNs, pharmacists, social workers, diabetes educators, and all healthcare and business development professionals who propose, implement, manage and/or instruct patients in DSME programs.
Back to School Advocacy Webinar for Parents of Children with Diabetes
When: Thursday August 10, 2017 2:00 PM – 3:15 PM
§ Safe at School campaign overview.
§ Federal and state law protections.
§ Safe at School updates.
§ Developing a 504 plan & strategies to overcome challenges
§ School diabetes management case studies.
§ Key resources for families & schools.
Program is free. Registration for live webinar is limited, first-come, first-served. Webinar will be recorded and available online within 2-3 weeks of live session.
To register go to: Back to School Webinar
SAVE THE DATE
Virginia Diabetes Council Meeting
September 22 12 – 3 PM
Henrico County Regional Library -Tuckahoe
1901 Starling Dr, Henrico, VA 23229
Interactive Diabetes Data Now Available by State and County
An additional resource is the Interactive Diabetes Data published by the CDC by State as well as County. Diabetes Data and Statistics, the Web publication of the US Diabetes Surveillance System, provides resources documenting the public health burden of diabetes and its complications in the United States and is available in a variety of formats.
Diabetes Patient Health and Education Dashboard
Are you or your practice looking for educational resources for your patients? The Health Quality Innovators have an online dashboard for patients, caregivers, pharmacists, and providers that is available in English and Spanish. The dashboards have materials on diabetes and heart health.Diabetes Health Dashboardand Cardiac Health Dashboard and Resources for Spanish Speaking Patientsprovide information on being active, eating healthy, blood glucose monitoring, and medications. There are also a variety of patient screening tools.
Mall Walking: A Program Resource Guide
Do you know of Mall Walking Programs in Virginia? Are you interested in starting a Mall Walking Program in your community? The Mall Walking: A Program Resource Guide is a detailed instruction guidebook for starting a mall walking program in your community.
The Virginia Diabetes Council is interested in including a wide variety of physical activity programs in www.DiabetesLocal.orgThe goal of DiabetesLocal is to provide as many community options as possible for individuals with diabetes and prediabetes. Please contact Kathy.gold@DiabetesLocal.org if you know of a mall walking program.
Early Bird Registration ends August 12
Expanding the Spectrum of Diabetes Care
October 12 5:30–8 PM
October 13 7:30 AM–4:00 PM
Virginia AADE Coordinating Body State Meeting
The Place at Innsbrook
4036-C Cox Road
Glen Allen, VA 23060
The Virginia Coordinating Body of the American Association of Diabetes Educators is providing an opportunity for Diabetes Educators and those interested in diabetes education to update their knowledge regarding all aspects of the diabetes spectrum, including diabetes prevention, technology, medications, and psychological needs. Register today.