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).