Scaling the National Diabetes Prevention Program to Priority Populations

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Opportunity ID: 290159
Opportunity Number: CDC-RFA-DP17-1705
Opportunity Title: Scaling the National Diabetes Prevention Program to Priority Populations
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Cooperative Agreement
Category of Funding Activity: Health
Category Explanation:
CFDA Number(s): 93.261
Eligible Applicants: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled “Additional Information on Eligibility”
Additional Information on Eligibility: Eligible applicants are organizations that: 1) commit to scaling the CDC National Diabetes Prevention Program (National DPP) for both Medicare beneficiaries and at least one additional adult priority population with prediabetes or at high risk for type 2 diabetes, 2) operate through multi-state networks (regional or national), 3) agree to implement the required strategies in a minimum of three states starting in the first year, 4) have demonstrated experience delivering a lifestyle change program or other behavior change program, and 5) have demonstrated specific experience working with at least one priority population other than Medicare beneficiaries.
Successful applicants will: 1) develop the required infrastructure to deliver a CDC-recognized lifestyle change program that meets the CDC Diabetes Prevention Recognition Program (DPRP) standards, and 2) expand program enrollment and retention for both Medicare beneficiaries and adults who identify as members of one or more of the following priority populations: men, people with visual or physical disabilities (non-institutionalized), Hispanics, African-Americans, American Indians, Alaska Natives, or Pacific Islanders.
Eligible applicants must document recent experience delivering an evidence-based behavior change program to adults in multiple states. Program delivery experience can include: 1) developing and implementing a CDC-recognized lifestyle change program or 2) developing and implementing other types of evidence-based behavior change programs that have a structured curriculum, are delivered in a group setting by trained instructors, and have documented successful outcomes.
Ideally, applicants will have experience delivering a lifestyle change program or behavior change program to one or more of the priority populations. While all applicants must work with Medicare beneficiaries, applicants must also specify which additional adult priority populations they will serve through funded efforts. Applicants that do not have specialized experience working with one or more priority populations must partner with one or more organizations that have demonstrated experience reaching the target priority population(s) and engaging them in some type of evidence-based public health program or service. . Applicants must mobilize their existing multi-state network of affiliates or delivery partners to deliver the program, including implementing strategies to optimize service delivery, enrollment, and retention of priority populations.
Applicants must significantly increase enrollment and retention of priority populations in CDC-recognized lifestyle change programs. This can be done by: 1) starting new CDC-recognized lifestyle change programs, or 2) expanding the capacity of existing programs. Particular consideration will be given to applicants proposing to reach priority populations in underserved areas. Underserved areas are geographic communities with high diabetes prevalence rates that have limited existing program infrastructure. Underserved areas will be further defined in the funding opportunity announcement.
Applicants are strongly encouraged to be familiar with the National DPP http://www.cdc.gov/diabetes/prevention and the Standards and Operating Procedures for implementing a CDC-recognized lifestyle change program http://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf
Agency Code: HHS-CDC-NCCDPHP
Agency Name: Department of Health and Human Services
Centers for Disease Control – NCCDPHP
Posted Date: Nov 16, 2016
Last Updated Date: Nov 16, 2016
Estimated Synopsis Post Date: Jun 30, 2017
Fiscal Year: 2017
Award Ceiling: $1,500,000
Award Floor: $750,000
Estimated Total Program Funding: $70,000,000
Expected Number of Awards: 12
Description: This is a new, open competition funding opportunity announcement (FOA) to expand the reach of the National DPP to priority populations, particularly those in underserved areas. Applicants will work with CDC through a cooperative agreement to deliver a CDC-recognized lifestyle change program to adult priority populations with prediabetes or at high risk for type 2 diabetes. The FOA specifically focuses on increasing program enrollment and retention for: Medicare beneficiaries, men, people with visual or physical disabilities (non-institutionalized), Hispanics, African-Americans, American Indians, Alaska Natives, and Pacific Islanders. Successful applicants will have both general experience delivering either a CDC-recognized lifestyle change program or a similar evidence-based behavior change program and specialized experience working with one or more of the priority populations listed. Applicants without the required specialized experience must develop a partnership and shared work plan with one or more national organizations that have specialized experience reaching the targeted priority population(s) and increasing their engagement in some type of evidence-based public health program or service. Background Approximately 86 million Americans have prediabetes. This is nearly 1 in 3 adults. Prediabetes is a health condition characterized by blood glucose levels that are higher than normal but not high enough to be diagnosed as diabetes. People with prediabetes have an increased risk of developing type 2 diabetes, heart disease, and stroke. Prediabetes is treatable, but only about 10 percent of people who have it are aware that they do. The CDC-led National DPP http://www.cdc.gov/diabetes/prevention/index.html is a partnership of public and private organizations working collectively to establish, spread, and sustain an evidence-based lifestyle change program for adults with prediabetes to prevent or delay onset of type 2 diabetes. The lifestyle change program is founded on the science of the Diabetes Prevention Program research study, and several translation studies that followed, which showed that making modest behavior changes helped participants lose 5% to 7% of their body weight and reduced the risk of developing type 2 diabetes by 58% in adults with prediabetes (71% for people over 60 years old). CDC’s Diabetes Prevention Recognition Program (DPRP) http://www.cdc.gov/diabetes/prevention/recognition/about.htm plays a critical role in assuring that organizations can effectively deliver the evidence-based lifestyle change program with quality and fidelity. To achieve CDC recognition, organizations must provide evidence they are following a CDC-approved curriculum and achieving meaningful results with patients based on established national standards. There are over 1,000 CDC-recognized organizations across 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands delivering the evidence-based lifestyle change program in-person, virtually, or through a combination of virtual/in-person modalities to accommodate different learning styles and preferences (https://nccd.cdc.gov/DDT_DPRP/Programs.aspx). Because about 9 out of 10 adults with prediabetes are not aware of their condition, physicians and other health care professionals can play a critical role in screening, testing, and referring people with prediabetes to CDC-recognized diabetes prevention programs. In 2015, CDC and the American Medical Association released a provider toolkit (available at www.preventdiabetesstat.org) that offers a roadmap for applying and incorporating the elements of the prediabetes screening, testing, and referral process into the office workflow and/or the electronic health record (EHR) and feedback loops allowing National DPP programs to provide information on patients’ progress back to the referring health care provider. July 7, 2016, the Centers for Medicare & Medicaid Services (CMS) proposed changes to the Physician Fee Schedule to expand the Diabetes Prevention Program starting January 1, 2018. This is the first time a preventive service model from the CMS Innovation Center will be expanded into Medicare as the Medicare Diabetes Prevention Program (MDPP) https://innovation.cms.gov/initiatives/medicare-diabetes-prevention-program/. On November 2, CMS announced the first final rule that describes aspects of the expansion that will enable organizations, including those new to Medicare, to prepare for enrollment into Medicare as MDPP suppliers. Finalized policies include the definition of the MDPP benefit, beneficiary eligibility criteria, and supplier eligibility and enrollment criteria. Future rulemaking will address policies related to payment, virtual providers, and other program integrity safeguards. The final rule will be published in the Federal Register on November 15, 2016. Refer to pages 1019-1108 of the federal register notice for information on the MDPP. Funding Opportunity Announcement Synopsis This new funding opportunity announcement (FOA) follows and builds on the work that was supported through the cooperative agreement DP12-1212 National Diabetes Prevention: Preventing Type 2 Diabetes among Adults at Highest Risk 2012-2017. DP12-1212 funded six national organizations to mobilize multi-state networks of CDC-recognized lifestyle change programs to deliver the program and secure reimbursement from employers and insurers purchasing the benefit for their respective employees or insureds. This new FOA differs in that awardees will establish and expand multi-state networks to deliver the program to Medicare beneficiaries and one or more priority populations in underserved areas. It is envisioned that applicants’ multi-state network implementation will increase the number of organizations participating in the CDC DPRP that are reimbursed by Medicare and other payers. Enrollment and retention efforts will focus on specific priority populations. In addition to meeting all DPRP standards, applicants are encouraged to use program delivery approaches consistent with the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (https://www.thinkculturalhealth.hhs.gov/clas/standards). While this new FOA builds on a prior cooperative agreement as noted above, eligible organizations not previously funded to implement the National DPP are encouraged to apply.
Version: Forecast 1





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