MDPP Supplier Learning Series - Shared screen with speaker view
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Questions regarding the MDPP Enrollment Project? Email: firstname.lastname@example.org
cannot see poll. WE are seeing MDPP participants
Starting new cohort in January
will start another in january
I don't see the poll. We are not seeing MDPP participants currently because none of the Medicare beneficiaries we have seen have had MDPP eligibility - blood work was not in range but they met CDC risk test for the program.
Additional questions for CMS? Visit the Medicare Diabetes Prevention Program (MDPP) Supplier Support Center: https://cmsorg.force.com/mdpp/
Can we send marketing materials related to the program directly to Medicare B eligible participants - knowing they meet the A1C/GLucose and BMI criteria?
Send your MDPP Success Story to email@example.com
Most of our referrals come from providers due to our marketing efforts to the providers. Our greatest challenge is billing
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Beneficiary Brochure: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/MDPP-MLN34893002.pdf
Beneficiary Brochure: https://www.medicare.gov/Pubs/pdf/12019-Medicare-and-Diabetes-Prevention.pdf
Provider Brochure: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/MDPP-MLN34893002.pdf
Diabetes Prevention Fact Sheet https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/DSMT-Fact-Sheet-909381.pdf
Preventive Services Handbook (MDPP is on page 16) https://www.medicare.gov/Pubs/pdf/10110-Medicare-Preventive-Services.pdf
In Providence - how many coaches do you have to lead these cohorts & manage data collection & reporting to DPRP & CMS?
Katie Gustavesen - We pulled data from our EHR and scrubbed the data / filtered for:- age & BMI eligibility- eligible labs within one year (confirmed labs, Medicare or CDC requirements)- no diabetes diagnosis- history of GDM diagnosis- insurance plans we know have coverage for DPP
Can you describe how you went about registering participants? Did you mail registration forms to each of the participants? Were there challenges in getting the forms back from perspective participants? Can you please comment on best practices to get in person weights at the required classes? Finding it very challenging for people to comply
Sarah Hales - we currently have 3 active coaches, most who facilitate multiple cohorts at a time. We have one full-time coordinator who reports to DPRP & CMS and helps the coaches manage the data collection.
Thanks Sareena. Are the coaches part-time?
Sarah - All of our active coaches are independent contractors so they work 'on-call' so to speak, as cohort opportunities come up they re-sign a contract with us.
Emily - Yes, our coordinator reviews all DPP claims before they go out to take care of specific requirements for MDPP claims; and we meet monthly with our billing teams to review denials, coding errors, etc. The FTE is within the coordinator role and centralized regional billing/coding/denials teams.
Maarian- I work with Sareena at Providence. For our August cohort we started during COVID, We created an online Orientation Form that people would fill out to secure their spot in an orientation. We told them at orientation that in order to continue into the program we would need them to fill out our intake form, which we also set up online using Microsoft Forms. I found that it was easier to get information back from participants if they fill out paperwork online rather than asking them to send their information through the mail.As for In-person weigh-ins, we made it clear in the Orientation that we would need to get in-person weights for Medicare participants. We scheduled time at a clinical conference room and set up 15 min appointments for quick weigh-ins. The clinic had a temperature screener at the front door and we were wearing PPE to ensure patient safety.I'm happy to go over more of this in detail if you'd like to reach out directly!
Our main way for recruiting from providers has been through the letter projects. Each year we work to send 2000 letters to eligible patients
in 2019 we had 35 cohorts. We did not divide the cohorts between medicare and non-medicare, we had 402 total participants for 2019
For the letter project, we do not receive the patient info. The letter is sent from the provider's office. It is up to the patient to contact us
Does the AMA have workflow algorithms to help programs pick the correct HCPCS codes for milestones like weight loss & attendance?
I’m referring to Epic workflows in the question above
We have a variety of CPT codes and diagnosis codes listed on our website but they are not specific to Medicare https://amapreventdiabetes.org/sites/default/files/uploaded-files/18-302297IHO%20STAT%202.0%20ICD%20and%20CPT%20Codes.pdf
we don't have specific guidance for the EHRs but we do have an Prediabetes Healthy Planet setup guide that can be shared with EPic users only to help with setting up registries, referrals, etc.
Ellen - please share your email in the chat and I can share or email me directly at firstname.lastname@example.org
Stephanie - MDPP participants have to meet eligibility for year 2 and it is optional to them, but we have to offer it for people that are eligible and interested. We now offer a year 2 to all participants that meet eligibility for year 2.
Stephanie - no new modules. Our coaches work with the year 2 participants to review previous modules from year 1
Amy - Depending on the number of participants eligible for year 2, we have both combined year 2 with new cohorts and started a year 2 only group.
Jennifer - From my understanding we need to get in-person weights to bill for the 5% weight loss, 9% and for CM classes with weight loss codes.
Jennifer - For MDPP core maintenance classes, I believe we only bill once every 3 months, so we only do weigh-ins when we need to bill to see if we can include the weight loss code.
Crosswalk information: https://innovation.cms.gov/files/x/mdpp-crosswalk-guidance.pdf
Thank you all! This was extremely helpful!
Thank you all!
Thank you everyone!