Medicare AdvantageAdministrativeLow impact
MAPAP259 - Medicare Diabetes Prevention Program - New
Blue Cross of Idaho·ID · Endocrinology, Family Medicine, Internal Medicine·Medical Policy
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho has established a new provider administrative policy for the Medicare Diabetes Prevention Program (MDPP), an evidence-based behavioral intervention for Medicare Advantage members with prediabetes. Only organizations enrolled as MDPP Suppliers with CMS can provide these services.
Action Required
By April 2026: Providers interested in offering MDPP services must enroll as Medicare Diabetes Prevention Program Suppliers through CMS. Verify supplier enrollment status at data.cms.gov before billing for MDPP services. Only enrolled MDPP Suppliers can provide and bill for these services to Medicare Advantage members with prediabetes.