MedicaidCoverageMedium impact
25-284m Elevate Care: Help Your Patients Prevent the Onset of Type 2 Diabetes
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
CalViva Health Medi-Cal now covers the Diabetes Prevention Program (DPP) as a benefit for eligible members with prediabetes. Providers can refer qualifying Medi-Cal members aged 18+ with specific BMI and glucose criteria to a 1-year lifestyle coaching program administered by Diabetes Care Partners at no cost to members.
Action Required
Immediately: Providers should begin identifying and referring eligible Medi-Cal members with prediabetes to the DPP program. Complete online referral forms at Diabetes Care Partners' website or call 877-227-3889. Update patient care protocols to include prediabetes screening and DPP referral workflows for members meeting eligibility criteria (age 18+, BMI ≥25 or ≥23 for Asian patients, recent A1c 5.7-6.4% or qualifying glucose levels).