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Diabetes Prevention Program

The Diabetes Prevention Program (DPP) is an evidence-based 12-month lifestyle change program for HPSM Medi-Cal and CareAdvantage members with pre-diabetes. It includes:

  • Weekly one-hour sessions led by trained Lifestyle Coaches for the first six months and monthly sessions in the last six months. 
  • Support from coaches to create plans for eating healthy, exercising more and losing weight. 
  • Educational materials to help people meet their personal health goals. 
  • Group support. 

Providers are encouraged to refer eligible members to the DPP. Refer your patient

Program cost

HPSM provides the DPP to eligible HPSM Medi-Cal and CareAdvantage members at no cost.

The program covers 22 sessions over 12 months. In addition, Medi-Cal members who maintain a required minimum weight loss of five percent from the first session and meet attendance requirements are eligible to receive ongoing maintenance sessions past the 12-month core services period.

To learn about the DPP, members can visit www.hpsm.org/dpp or call HPSM’s Health Promotion Unit at 650-616-2165.

Program eligibility requirements

HPSM Medi-Cal members who meet all of the following:

  • Are 18 years old or over
  • No previous type 1 or type 2 diabetes diagnosis
  • Not pregnant
  • Not diagnosed with end-stage renal disease
  • A body mass index (BMI) of at least 25 (or at least 23 if self-identified as Asian)
  • Meet one of the following criteria:
    • A blood test result in the prediabetes range within the last 12 months:
      • Hemoglobin A1c test: 5.7%–6.4%
      • Fasting plasma glucose: 100–125 mg/dL
      • Two-hour plasma glucose: 140–199 mg/dL (oral glucose tolerance test)
    • A gestational diabetes diagnosis in a previous pregnancy
    • Received a high-risk result (score of 5 or higher on the CDC Prediabetes Risk Test)

HPSM CareAdvantage members who meet all of the following:

  • Are 18 years old or over
  • No previous type 1 or type 2 diabetes diagnosis
  • Not pregnant
  • Not diagnosed with end-state renal disease
  • A body mass index (BMI) of at least 25 (or at least 23 if self-identified as Asian)
  • Have one blood test result in the prediabetes range within the last 12 months:
    • Hemoglobin A1c test: 5.7%–6.4%
    • Fasting plasma glucose: 110–125 mg/dL 
    • Two-hour plasma glucose: 140–199 mg/dL (oral glucose tolerance test)

Transportation

DPP-eligible members can use HPSM's Ride Benefit to get to in-person DPP sessions.

Additional Services

Eligible Medi-Cal members who enroll in DPP can also enroll in HPSM’s Fitness Membership Program at no cost while enrolled in DPP. That gives you access to YMCA locations throughout San Francisco, San Mateo, and Santa Clara Counties.

CareAdvantage members can learn more about how to enroll in our Fitness Membership Program.

Does your patient want to learn more about diabetes? Check out our special-edition diabetes newsletter

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This eight-page booklet is filled with tips to help patients manage their diabetes and stay healthy. It includes diabetes ABCs, a diabetes control checklist, a guide to online and local resources, plus much more. To get a print copy mailed to you, call the Health Promotion Unit at 650-616-2165.