Program Announcement: CY 2026 Medicare PFS Final Rule Updates to MDPP

Centers for Medicare & Medicaid Services

**Program Announcement: Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS) Final Rule Updates to the Medicare Diabetes Prevention Program (MDPP)**

In the Calendar Year (CY) 2026 Physician Fee Schedule (PFS) Final Rule, the CMS finalized several changes to MDPP which are aimed toward increasing participation and access, empowering beneficiaries, and promoting further alignment between MDPP and the CDC DPRP Standards. Specifically, CMS finalized the following changes to the MDPP expanded model policies:

Updating weight collection requirements to allow beneficiaries to self-report weight for MDPP sessions from home or a reasonable location outside of an in-person delivery site (e.g., fitness centers, medical facilities, and temporary abodes) and allowing for the submission of weight collected as part of a medical record, dated within five days of a scheduled MDPP session, to reduce burden, promote safety, and increase access.
Extending the flexibilities allowed during the PHE for COVID-19 through December 31, 2029, including the option for MDPP suppliers to deliver some or all MDPP sessions via distance learning and for beneficiaries to virtually self-report weight for MDPP distance learning sessions.
Testing the additional coverage of asynchronous, online delivery of MDPP through December 31, 2029, in hopes of further increasing program participation among suppliers and beneficiaries and promoting alignment between MDPP and CDC’s DPRP Standards. CMS is adding the online delivery modality through December 31, 2029, to test if evaluation results, including weight loss, are similar to in-person and distance learning delivery modalities.
Clarifying that MDPP suppliers are not required to maintain in-person delivery capability through December 31, 2029, to facilitate the ability of MDPP suppliers to deliver the program asynchronously. This will allow for virtual-only organizations to enroll in Medicare as an MDPP supplier and streamline the process to allow for greater asynchronous delivery.

Please stay tuned for updates, as the CMS MDPP Team is planning to host an upcoming webinar to discuss these changes in early 2026.

Thank you,

The CMS MDPP Team

https://www.cms.gov/calendar-year-cy-2026-medicare-physician-fee-schedule-pfs-changes-medicare-diabetes-prevention

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