January 2016 Newsletter

We hope that your holidays were wonderful and that you are off to a great start in 2016. Thursday, May 5th has been set as the date of the spring DPAC meeting, with more information in this issue. DPAC communication will be increased this year through 4 - 6 newsletters due to the many updates in both diabetes prevention and management. The DPAC newsletter will continue to provide information about chronic disease, DPAC member initiatives and new diabetes resources. As always, we welcome input on newsletter content and we ask you to share this newsletter with anyone who may be interested.

For feedback about content or distribution, please contact Anne Esdale at esdalea@michigan.gov or phone (517) 335-6936.

Save the Date! DPAC Full Membership Meeting May 5, 2016

kellogg center Spring DPAC meeting on Thursday, May 5th at the Kellogg Center in East Lansing. View presentations from the November 2015 Full Membership Meeting.


Cost Calculator for National DPP: The American Medical Association recently released a new online cost calculator that can be used by employers or insurers as a conversation starter to estimate and discuss potential cost savings associated with covering the National DPP.

This new tool is located on the Prevent Diabetes STAT website at www.ama-assn.org/sub/prevent-diabetes-stat/employers-and-insurers.html.

National PSA Campaign for Prediabetes: To raise awareness around prediabetes, the American Diabetes Association (ADA), the American Medical Association (AMA), and the Centers for Disease Control and Prevention (CDC) have partnered with the Ad Council to launch the first national public service advertising (PSA) campaign about prediabetes. This campaign utilizes media, print and PSAs and recently launched on January 21, 2016. Future DPAC newsletters will have updates about this campaign.

AMA STEPS Forward offers innovative strategies that will allow physicians and their staff to thrive in the evolving health care environment by working smarter, not harder, and giving them more time caring for their patients. Physicians can access the collection of interactive educational modules online at stepsforward.org and also earn continuing medical education credit.

The diabetes prevention module presents strategies to help physicians as well as practice staff educate patients about their risk for developing diabetes and refer at risk patients to a CDC-recognized lifestyle change program. This module also addresses the need for helping physicians determine roles and responsibilities and practice flow for diabetes prevention in a clinical setting. The AMA-CDC Provider Toolkit has been incorporated into the module.

You can access the preventing type 2 diabetes in at-risk patient module at www.stepsforward.org/modules/prevent-type-2-diabetes.

New 2016 National Diabetes Prevention Program (DPP) CPT Code: CPT, which stands for Current Procedural Terminology, is a registered trademark of the American Medical Association. A CPT code is a billing code used for clinical procedures that are consistent with contemporary medical practice. There is now a new CPT Category III tracking code specific to CDC's National DPP that is effective for use January 1, 2016 and that more accurately identifies the non-clinical service performed by CDC-recognized National DPP providers:

CPT Code 0403T: Preventive behavior change, intensive program of prevention of diabetes using a standardized diabetes prevention program curriculum, provided to individuals in a group setting, minimum 60 minutes, per day.

Who can use this code? The code should be used by National DPP program providers that are CDC-recognized or have pending recognition status. The following steps must be followed to submit claims:
  • Systems in place (processes, people, technology) to be able to submit claims to a payer
  • A National Provider Identifier (NPI) number
  • A payor source (e.g., private insurance or Medicaid) that has agree to pay for the program
The CPT code does not guarantee reimbursement, but is instead a method to trigger reimbursement and report services rendered. For questions related to payor policies, CDC-recognized National DPP providers should contact individual third-party payors.


U.S. Preventive Services Task Force (USPSTF) Screening Recommendation for Abnormal Glucose and Type 2 Diabetes

The USPSTF released a final recommendation for screening abnormal blood glucose and type 2 diabetes on October 30, 2015. The new recommendation supports screening for abnormal blood glucose as part of a cardiovascular disease (CVD) risk assessment in adults aged 40 - 70 who are overweight or obese. The recommendation also requires clinicians to offer or refer patients with abnormal glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity. This could include a CDC-recognized lifestyle change program for those with prediabetes or diabetes self-management education for those diagnosed with type 2 diabetes.

Compared to the previous draft version, the final recommendation narrows the age range for suggested diabetes screening, suggests screening only in overweight and obese patients and recommends screening as part of a CVD risk assessment. For more information, please see annals.org/article.aspx?articleID=2466369

New Diabetes Resources

The Prediabetes in Michigan Fact Sheet and the Michigan Medicaid Executive Summary for Diabetes were completed in late 2015 and are available on the DPAC Resources page.

The prediabetes fact sheet offers data and facts about prediabetes prevalence and diabetes testing among Michigan adults. Two of the most significant are:
  • 37% of U.S. adults age 20 or older have prediabetes of which approximately 10% are aware of their condition. In Michigan, only 8.2% of adults 18 years and older reported (on the Michigan Behavioral Risk Factor survey) ever being told that they had prediabetes in 2014.
  • In 2014, more than half of Michigan adults 18 years and older (56.1%) received a test for diabetes in the past three years.
The Medicaid Executive Summary reports that diabetes affects about one in ten adult Medicaid beneficiaries age 18 - 64 in Michigan, with about 1 in 20 adult PWD having at least one Diabetes Self-Management Education (DSME) session in 2012.

Diabetes Prevention Videos

Hundreds of Michigan adults have been taking the steps to prevent type 2 diabetes by participating in the National Kidney Foundation of Michigan's My Choice. . . My Health: Diabetes Prevention Program.

Watch this video to see the true impacts of DPP: www.youtube.com/watch?v=1wW0one2gCsPriority

Priority Health was awarded the Pinnacle Award from the Michigan Association of Health Plans in December for its work with the Diabetes Prevention Program.

Watch this video to learn more about Priority Health and its work to reduce the impact of diabetes in Michigan: www.youtube.com/watch?v=uxYa-uH6Dk4&feature=youtu.be

Oral Health: An Untapped Resource in Managing Glycemic Control in Diabetes and Promoting Overall Health
Dr. Cynthia Darling-Fisher, PhD, FNP-BC of the University of Michigan School of Nursing has published Oral Health: An Untapped Resource in Managing Glycemic Control in Diabetes and Promoting Overall Health www.npjournal.org/article/S1555-4155(15)00735-7/abstract?showall=true in the October issue of the Journal of Nurse Practitioners. The article provides an excellent overview of the link between periodontitis and uncontrolled diabetes and discusses how patients' glycemic control may be impacted if periodontal infection is left unchecked. The team advocates for improving the structures of referrals and increasing inter-professional collaboration between primary care and dentistry to promote health.

JDRF 2nd Annual Teen Central-Winter Carnival

jdrf teen carnival
Date: Saturday, January 30, 2016
Time: 9:00am-12:00 noon
Where: Wayne County Community College District-Western Campus 9555 Haggerty Rd, Belleville, MI

JDRF is expecting 60-80 teens and their parents/caregivers at this year's event. Help JDRF get the word out!!

Go to the JDRF Carnival event web page