Name of the Procedure:

Common Name:

- MDPP Ongoing Maintenance Sessions

Technical/Medical Term:

- Medicare Diabetes Prevention Program Ongoing Maintenance Sessions (G9884)

Summary

Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions are part of a structured intervention program aimed at preventing the onset of type 2 diabetes in Medicare beneficiaries. These sessions focus on maintaining healthy lifestyle changes through continued education and support.

Purpose

Addresses:

- Pre-diabetes
- Risk of developing type 2 diabetes

Goals/Outcomes:

- Maintain weight loss achieved during initial phases of the MDPP
- Sustain healthy eating habits and increased physical activity
- Provide continual support and education to prevent diabetes onset

Indications

Symptoms and Conditions:

- Diagnosis of pre-diabetes
- Successful completion of prior MDPP sessions

Patient Criteria:

- Medicare beneficiaries identified as at risk for type 2 diabetes
- Beneficiaries in months 19-21 of the MDPP expanded model

Preparation

Pre-procedure Instructions:

- No special preparation required for the maintenance sessions

Diagnostic Tests/Assessments:

- Regular monitoring of weight and physical activity levels
- Periodic blood glucose tests as recommended by healthcare provider

Procedure Description

Steps Involved:

1. Review of previous session topics and progress tracking
2. Group discussion on challenges faced and strategies for overcoming them
3. Educational segments focusing on new lifestyle topics or reinforcing previous lessons
4. Physical activity monitoring and encouragement ##### Tools/Equipment:
   • Educational materials (pamphlets, videos)
   • Weight scales, physical activity trackers ##### Anesthesia/Sedation:
   • Not applicable

Duration

- Each session typically lasts 1 to 1.5 hours

Setting

- Outpatient clinic or community health setting

Personnel

- Certified lifestyle coach
- Registered dietitian (optional)
- Support staff for administrative tasks

Risks and Complications

Common Risks:

- Minimal risks as it is a non-invasive educational session

Rare Risks:

- Possible demotivation or decreased adherence without proper support

Benefits

Expected Benefits:

- Sustained weight management
- Lowered risk of progressing to type 2 diabetes
- Improved overall health and well-being

Realization Time:

- Benefits accrue gradually and continue over the maintenance period

Recovery

Post-procedure Care:

- Continuous self-monitoring of diet and physical activity

Recovery Time:

- Immediate return to normal activities

Follow-up:

- Scheduled regular follow-up sessions as part of MDPP

Alternatives

Other Treatment Options:

- Individual counseling sessions
- Medication for diabetes prevention (e.g., metformin)
- Comprehensive weight management programs

Pros and Cons of Alternatives:

- Individual counseling: tailored support but potentially higher cost
- Medication: effective for some; risk of side effects
- Weight management programs: broad approach but may lack diabetes-specific content

Patient Experience

During the Procedure:

- Interactive and supportive environment
- Collaborative learning and sharing with peers

Post-procedure:

- Motivation and empowerment to sustain healthy lifestyle changes
- Availability of ongoing support and resources

Pain Management and Comfort:

- Not applicable, as the session is non-invasive and educational