For a claim to be valid under the Medicare Diabetes Prevention Program (MDPP), you must have a separate Medicare enrollment as a MDPP supplier. If you are an approved MDPP supplier and you meet the MDPP supplier requirements and standards (including preliminary or full Centers for Disease Control and Prevention recognition), you can submit claims for HCPCS G-codes for your services – here is the info.
If you do not have a separate Medicare enrollment as a MDPP supplier and you submit a claim for MDPP services, your claim will be rejected.
Need help? Contact our credentialing department for enrollment as Medicare Diabetes Prevention Program Supplier – at 718-593-4198 or 718-934-6714