MedicaidCoverageMedium impact

Coverage of National Diabetes Prevention Program for HealthChoice Enrollees

Q: Who is affected by this change?

This affects Maryland Medicaid Endocrinology, Family Medicine, Internal Medicine, General Practice providers in MD on Medicaid plans.

Maryland Medicaid·MD · Endocrinology, Family Medicine, Internal Medicine +1 more·Provider Transmittal

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Maryland Medicaid (HealthChoice) now covers the National Diabetes Prevention Program for eligible enrollees. This policy establishes coverage for structured diabetes prevention services that may involve billing for lifestyle change programs and related interventions.

Action Required

Action needed

Immediately: Billing team should review the full Provider Transmittal document at the provided URL to identify specific billing codes, coverage criteria, and documentation requirements for National Diabetes Prevention Program services. Update billing procedures and staff training for Maryland Medicaid HealthChoice enrollees seeking diabetes prevention services.

Related policy hubs

Maryland Medicaid policies MD policy changes Endocrinology Family Medicine Internal Medicine General Practice