Skip directly to search Skip directly to A to Z list Skip directly to navigation Skip directly to page options Skip directly to site content

Questions & Support

Many organizations are offering a CDC-recognized program. Based on their experiences, CDC has posted answers to frequently asked questions that address many of the challenges or uncertainties you might encounter.

You may also be able to find organizations in your area that are willing to share lessons they learned along the way.

CDC can provide technical assistance to help you deliver an effective program and solve challenges to achieve and maintain recognition status. Send your questions to

Frequent Questions about Offering a Program

What is the "CDC's Diabetes Prevention Recognition Program (DPRP) Standards and Operating Procedures" (Recognition Standards, for short)?

A document that describes, in detail, all the requirements for organizations that are part of DPRP. All organizations must read and understand this document before applying for recognition.

My organization is thinking of offering a CDC-recognized lifestyle change program in our community. What should we do first?

Organizations are strongly encouraged to read the CDC Recognition Program Standards and Operating Procedures and complete the Capacity Assessment [PDF – 58.4KB] before applying for recognition. If your organization does not have capacity at this time, you may want to support other sites in your area.

What can organizations do if they feel that the cost of participating in a CDC-recognized lifestyle change program is too burdensome for participants?

The cost for participation in a CDC-recognized lifestyle change program depends on a variety of things, including the host organization’s funding/resources, ability to work with partners and garner reimbursement for services via private or public insurers, and whether the program is offered at a worksite as part of a benefits package to employees, for example. CDC estimates the average cost of program delivery to be about $500 per participant annually. This is a small amount considering that the average cost per year to treat one person with diabetes is estimated at $13,700. This is not to say that the participant actually bears the direct cost of the program. Many organizations have other sources of funding and cover some participant costs, while others ask that participants pay a small fee to supplement program costs.

Does CDC provide any guidance related to reimbursement for the delivery of a CDC-recognized lifestyle change program?

CDC does not provide reimbursement guidance as this differs greatly across insurers. CDC refers DPRP organizations back to whichever insurer or Third Party Administrator (TPA) for further discussion. In terms of reimbursement under the Medicare Diabetes Prevention Program (MDPP) Expanded Model, please see the Centers for Medicare and Medicaid’s (CMS).

Are there any specific recommendations or strategies that states can use to influence large employers who offer diabetes prevention lifestyle change programs to become CDC-recognized?

Seeking CDC recognition is a voluntary process. CDC recognition provides both employers and payers with a guarantee of fidelity to the evidence-based standards. Finalized legislation to cover Medicare beneficiaries’ participation in diabetes prevention lifestyle change programs beginning in 2018 requires such programs to be offered by organizations that have received preliminary or full recognition from CDC. Many payers require CDC recognition as a condition of payment. Employers can find more resources here.

Will the CDC diabetes prevention program curriculum be translated into any language other than Spanish?

At this time, CDC does not have plans to translate the diabetes prevention program curriculum into any language other than Spanish. However, CDC is currently working with partners to translate its PreventT2 curriculum in other languages. Please contact for more information.

Does CDC require lifestyle coaches to be certified or credentialed?

At this time, CDC does not require certification or credentialing for lifestyle coaches or master trainers. However, lifestyle coaches are required to receive 12 hours of training so that they can effectively implement the diabetes prevention lifestyle change program with fidelity to the DPP science and CDC recognition standards. Master trainers are also required to have received training and to have taught a diabetes prevention lifestyle change program for at least one year.

Who Can be a Master Trainer?

A Master Trainer has completed at least 12 hours of formal training as a Lifestyle Coach, has successfully offered the National DPP lifestyle change program for at least one year, and has completed a Master Trainer program offered by a training entity listed on the CDC website.