by Jared Staheli
June 25th, 2015
Section 4104 of the ACA revised section 1861(ddd) of the Social Security Act (the Act) to add subsection (3), which defines the term “preventive services” as follows:
• The specific services currently listed in section 1861(ww)(2) of the Act with the explicit exclusion of electrocardiograms (as specified in section 1861(ww)(2)(M) of the Act).
• The Initial Preventive Physical Examination (IPPE), also known as the “Welcome to Medicare” Preventive Examination, established by section 611 of the MMA; and
• The Annual Wellness Visit (AWV), including Personalized Prevention Plan Services (PPPS), as specified by section 1861(hhh) of the Act, as added by section 4103 of the ACA.
• Additional preventive services identified for coverage through the national coverage determination (NCD) process.
(Refer to the CMS Web site at http://www.cms.gov/ncd/index_list.asp?list_type=nca for current NCD information).