Summary

Requires the HHS Secretary to change Medicare rules so organizations can participate in the Medicare Diabetes Prevention Program (MDPP) Expanded Model by offering only online services (synchronous or asynchronous) from January 1, 2026 through December 31, 2030, provided they meet existing MDPP supplier enrollment rules. It also makes the program administrative address the address on file with the Diabetes Prevention Recognition Program, allows furnishing online services across State lines without automatically denying claims, and removes limits on how many times an individual may enroll in MDPP.

Key Points

• HHS must revise Medicare rules by Jan 1, 2026 to let entities offer MDPP as online-only (synchronous or asynchronous).
• Online-only MDPP participation is authorized for Jan 1, 2026 through Dec 31, 2030 if supplier enrollment conditions are met.
• An entity's administrative location is the address on file with the Diabetes Prevention Recognition Program.
• Serving a beneficiary in a different State online does not, by itself, prevent the entity from submitting a Medicare claim.
• Removes any limit on how many times an individual may enroll in the Medicare Diabetes Prevention Program.
• Entities must still satisfy existing MDPP supplier enrollment rules before billing Medicare.
• No new appropriation or specific new funding is provided; the change is regulatory and time-limited.
• Definitions and some regulatory terms are adopted by reference to existing Medicare rules, including the Nov 16, 2023 final rule.

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