Emerging eractices in diabetes pevention and control, Medicaid coverage for diabetes self-management education
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Emerging eractices in diabetes pevention and control, Medicaid coverage for diabetes self-management education

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      Historically, the Centers for Disease Control and Prevention’s (CDC’s) National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) has provided funding for state chronic disease programs on a disease-specific level, releasing separate funding opportunity announcements (FOAs) to address chronic conditions such as cardiovascular disease, diabetes, and obesity. However, chronic diseases have a high incidence of comorbidity, and the burden of these diseases has continued to escalate. In recognition of these issues, CDC has adopted a more integrated approach to chronic disease prevention and control, increasing opportunities for coordination across related diseases and risk factors so that public health programs can work together to be more efficient and achieve more significant and lasting outcomes. One recent FOA that embraces this approach is the State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health program (CDC-RFA-DP13-1305, hereafter referred to as 1305).

      State health departments serve on the front lines of coordinated chronic disease public health prevention efforts. Therefore, grantees are exploring and testing new approaches that will provide critical insight and lessons learned. The goal of the Emerging Practices in Diabetes series is to summarize and share information on these practices to inform the work of other grantees working in these same areas.

      This document describes the recent experiences of three states--Colorado, Mississippi, and New York--with state health departments that have collaborated with state Medicaid agencies to make Diabetes Self-Management Education (DSME) reimbursement a reality. Although each state faced unique challenges along the way, they shared similar success factors, including:

      • strong relationships between the two agencies at both program/staff and executive levels,

      • compelling use of public health and cost data to make the case, and

      • ongoing support and contributions from other partners that shared their goals.

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