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CHCS Report Maps How Texas Medicaid Could Cover the National Diabetes Prevention Program, Diabetes Care Could Cost Texas Medicaid $8.1B a Year

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A June 2026 Center for Health Care Strategies report, funded by the Episcopal Health Foundation, examines options for Texas Medicaid to cover the CDC's National Diabetes Prevention Program. The stakes: more than seven million Texas adults have prediabetes, 13.2% have diagnosed diabetes, and diabetes care could cost Texas Medicaid $8.1 billion annually — nearly 21 percent of total Medicaid spending.

The report maps coverage pathways through State Plan Amendments, Section 1115 demonstrations, and Medicaid managed-care pilots. Texas Medicaid does not currently cover the National DPP; whether and how a future benefit would reach health centers is an open design question — no current reimbursement pathway exists, so health centers should treat this as a policy-watch item, not a revenue line.

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Cite this analysis

FQHC Talent. (2026, June 30). CHCS Report Maps How Texas Medicaid Could Cover the National Diabetes Prevention Program, Diabetes Care Could Cost Texas Medicaid $8.1B a Year. Source: Center for Health Care Strategies (funded by Episcopal Health Foundation). Retrieved October 6, 2026, from https://www.fqhctalent.com/intel/tx-chcs-national-dpp-medicaid-coverage-report-june-2026

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