MaineCare Enrollment Opportunity: MaineCare Benefits Manual (MBM), Chapter II, Section 71: National Diabetes Prevention Program (NDPP) Services

Jul 29, 2024

According to the American Diabetes Association, 1 in 10 Mainers are diagnosed with diabetes and type 2 diabetes can be prevented! 

Did you know that community-based and clinical health educators may now enroll in MaineCare to deliver NDPP Lifestyle Change Program (LCP) Services? These services deliver 22 lifestyle change group sessions either in-person, via distance learning (telehealth), or by virtual delivery with live coaching support to help members with prediabetes learn the skills and habits necessary to reverse their risk for developing type 2 diabetes.  

MaineCare enrollment requirements to deliver MBM, Chapter II, Section 71: NDPP Services  include:

• The NDPP LCP is developed and administrated by the United States Centers for Disease Control (US CDC). Each organization enrolling in MaineCare as a provider of these services must hold pending, preliminary, or full recognition from the US CDC. 
• This MaineCare enrollment can be added to an existing enrollment, or qualifying applicants may enroll solely as a provider of these services. Community-based providers having no current MaineCare enrollment will need to obtain a National Provider Identifier (NPI) for their new enrollment.  

To help MaineCare members with prediabetes improve their health:  

• Consult the US CDC’s Diabetes Prevention Recognition Program (DPRP) Standards to begin the process of obtaining US CDC recognition as a provider of NDPP LCP Services. 
• Visit the OMS Provider Enrollment and Revalidation webpage to begin the MaineCare enrollment process.  

For questions or assistance with enrollment, please contact MaineCare Provider Relations Specialist, Shannon Beggs.