We stated that self-reported weights must be obtained during live, synchronous online video technology, such as video chatting or video conferencing, wherein the MDPP coach observes the beneficiary weighing themselves and views the weight indicated on the at-home digital scale. Section 410.79(e)(3)(iii) permits an MDPP supplier to obtain weight measurements for MDPP beneficiaries for the baseline weight and any weight loss-based performance achievement goals in the following manner: (1) via digital technology, such as scales that transmit weights securely via wireless or cellular transmission or (2) via self-reported weight measurements from the at-home digital scale of the MDPP beneficiary. Alternatives to the requirement for in-person weight measurement (§ 410.79(e)(3)(iii)).The MDPP regulations provide for the following flexibilities during the PHE or an applicable 1135 waiver event: Under § 410.79(c)(iv), weight measurements used to determine the achievement or maintenance of the required minimum weight loss must be taken during an “MDPP session,” which is defined at § 410.79(b) to mean a core session or a core maintenance session.
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The term “set of MDPP services” is defined at § 410.79(b) to mean the series of MDPP sessions, composed of core sessions and core maintenance sessions offered over the course of the MDPP services period. Accordingly, under the amended regulation at 42 CFR 410.79(e)(3)(v), MDPP suppliers have been permitted to suspend in-person delivery of the set of MDPP services during the PHE and are required to resume in-person services either upon the end of the PHE or upon an effective date specified by CMS. On December 28, 2020, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2021 Physician Fee Schedule (PFS) final rule ( 85 FR 84472), which modified certain Medicare Diabetes Prevention Program (MDPP) policies for the remainder of the COVID–19 Public Health Emergency (PHE), as well as during any future 1135 waiver event that we determine may disrupt in-person MDPP services (an “applicable 1135 waiver event”). End Further Info End Preamble Start Supplemental Information SUPPLEMENTARY INFORMATION: Start Further Info FOR FURTHER INFORMATION CONTACT: DATES:Įffective on May 2, 2023, the PHE flexibilities described under 42 CFR 410.79(e) are extended through 11:59 p.m. This document provides information to MDPP suppliers regarding the extension of the ability to suspend in-person services as the PHE for COVID–19 concludes. MDPP suppliers may use all of or part of this period to extend the flexibilities described in the regulations. This extended effective date applies for all MDPP suppliers to allow additional time to resume in-person services.
This document is to alert Medicare Diabetes Prevention Program (MDPP) expanded model suppliers and interested parties that although current MDPP flexibilities permitted pursuant to regulations issued during the Public Health Emergency (PHE) for COVID–19 are scheduled to expire on May 11, 2023, we are specifying an effective date, for purposes of the regulations of December 31, 2023, through which in-person delivery of MDPP services can be suspended.
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