Starting June 1, 2025, EmblemHealth will cover the Chronic Disease Self-Management Program (CDSMP) for Medicaid and HARP members age 18 years and older with an arthritis diagnosis (CPT code 98960).
CDSMP is an evidence-based, self-management interactive program for adults that focuses on educating members about disease management skills. Its purpose is to help motivate members to manage chronic conditions such as arthritis and increase their confidence and physical and psychological well-being.
CDSMP providers help members make lasting behavior changes through group-based training and individual support.
Providers interested in helping members develop skills for arthritis management, including decision-making, problem-solving, and action-planning to promote health, can become a New York State Medicaid CDSMP provider. For steps to become a New York State Medicaid CDSMP Provider go to New York State Medicaid Update - January 2025 Volume 41 - Number 1.
JP 69205 5/2025