Traditional MedicareCoverageLow impact
20-030 Medicare Diabetes Prevention Program (MDPP)
Health Net·CA · Family Medicine, Internal Medicine, Endocrinology·Provider News
We identified it
Jun 20, 2026
Summary
Health Net has partnered with Solera Health to offer the Medicare Diabetes Prevention Program (MDPP) for Medicare Part B patients at risk for type 2 diabetes. This is a preventive service program with specific eligibility criteria including blood test values and BMI requirements.
Action Required
Immediately: Identify Medicare Part B patients at risk for type 2 diabetes who meet eligibility criteria (A1C 5.7-6.4, fasting glucose 110-125 mg/dL, or oral glucose tolerance 140-199 mg/dL, plus BMI >25 or >23 if Asian). Direct eligible patients to www.solera4me.com/healthnet to take the qualification quiz. No billing changes required as this is a referral program administered by Solera Health.