Yes. 

Please note, suppliers must ensure all patients are eligible for MDPP under FFS Medicare and follow all Centers for Disease Control and Prevention (CDC) Diabetes Prevention Recognition Program (DPRP) standards for distance learning delivery. 
 

Yes. Eligible FFS Medicare patients can enroll with any MDPP supplier offering MDPP sessions via distance learning, regardless of where the patient and supplier are located.

If there is no MDPP supplier in the new location, the beneficiary can attend virtual sessions through distance learning (e.g., a live virtual classroom), if offered. The beneficiary may also identify other MDPP suppliers that offer distance learning delivery of MDPP services.

MDPP suppliers should report Demonstration Code "82" in Item 19 on the CMS-1500 claim form or in the EDI equivalent 2300 REF01 P4 and 2300 REF02 82.

Electronic claims, 14 days; paper would be 29. Best practice is to wait 30 days for claim finalization prior to resubmitting.

CMS has developed billing and coding cheat sheets to assist with reporting. See the references listed below for more information.

References 

MDPP suppliers must update changes to the coach roster in PECOS within 30 calendar days to avoid claims being rejected or denied. 

Reference

• MDPP coach eligibility fact sheet