MedicaidAdministrativeLow impact
Diabetes Prevention Program Enrollment in the Medical Assistance Program MAB 99-19-03
Pennsylvania Medicaid (DHS)·PA · Endocrinology, Family Medicine, Internal Medicine·Eligibility
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance program now allows CDC-recognized Diabetes Prevention Programs to enroll as network providers in managed care plans. DPPs must enroll as specialty code 262 vendors and provide CDC recognition certificates or Medicare DPP enrollment proof.
Action Required
For practices operating Diabetes Prevention Programs in Pennsylvania: Enroll electronically as Provider Type 55 with specialty code 262. Submit CDC Certificate or Determination Letter showing Preliminary or Full Recognition Status, or proof of Medicare DPP enrollment. Enroll each office location separately and pay application fees.