2017-516-E Health - Minority Diabetes Prevention Program (MDPP) - MOU

Browse Search

DocuSign Envelope ID:A824226C-8DDB-4DD9-83EC-DD32AAD99084 Page 6 of 12 d. A fasting blood glucose score of 100 to 125mg/dI, e. An Ale test resulting in a level of 5.7-6.4 percent,or f. Clinically diagnosed gestational diabetes mellitus during a previous pregnancy(may be self- reported) From the population screened for prediabetes,refer 100%of eligible people to the MDPP and refer 100%of persons whose screening numbers indicate diabetes into diabetes self- management education programs. Document all referrals and include the number of referrals made in the performance reports 6. Enroll a minimum of 75 people total into the Minority Diabetes Prevention Program 12-month Lifestyle Class series which are to begin during this Agreement Addendum's Service Period and ensure that no less than 75%of the MDPP participants are members of racial/ethnic minority groups. The CDC requires that all Lifestyle Class participants be 18 years of age or older and have a body mass index(BMI)of 2224 kg/m(>22 kg/m, if Asian).In addition,a minimum of 50%of a program's participants must have had a recent(within the past year)blood test(may be self-reported),a medical claim code indicating they have prediabetes,or a history of gestational diabetes mellitus (GDM),according to one of the following specifications): a. Plasma glucose measured 2 hours after a 75 gm glucose load,with a result of 140 to 199 mg/dl b. A fasting blood glucose score of 100 to 125mg/d1, c. An Ale test resulting in a level of 5.7-6.4 percent,or d. Clinically diagnosed gestational diabetes mellitus during a previous pregnancy(may be self- reported) A maximum of 50%of a program's participants may be considered eligible without a blood test or history of GDM only if they screen positive for prediabetes based on the CDC Prediabetes Screening Test or screen positive for diabetes on the hard copy or electronic version of the American Diabetes Association Type 2 Diabetes Risk Test or on a claims-based risk test.The"CDC Diabetes Prevention Recognition Program Standards and Operating Procedures" document can be found at http://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf. A description of the curriculum, handouts and requirements can be found at http://www.cdc.gov/diabetes/prevention/lifestyle- program/curriculum.html. 7. Charge all MDPP participants a one-time fee of$25 unless a scholarship is provided. Scholarships, in the form of a fee waiver,must be offered to any MDPP participant who finds the participation fee to be a barrier. Scholarships should be offered on a sliding scale in the amounts of$10,$15 or$20, depending on need. Lead agencies and their partners can provide scholarships to class participants. All MDPP participants receiving scholarships are responsible to pay the remaining balance (i.e., if the participants receive a$20 scholarship,he or she shall pay the remaining$5 balance)of the one- time fee. Organizations not affiliated with the Lead agency and their partners can provide a sponsorship voucher in the amount of$25 to cover the one-time class fee. Sponsored MDPP participants must complete the Readiness to Change Questionnaire,administered by staff of the non- affiliated organization, and have a score that reflects readiness to change.DPH will provide the Readiness to Change Questionnaire. Revised June 2016