Medicare Proposes Coverage for Screening and Counseling for Alcohol Misuse and 
Screening for Depression

The Centers for Medicare & Medicaid Services (CMS) today proposed to add 
alcohol screening and behavioral counseling, and screening for depression, to 
the comprehensive package of preventive services now covered by Medicare.  
These proposed national coverage determinations (NCDs) are issued under 
authority granted by the Medicare Improvements for Patients and Providers Act 
of 2008 (MIPPA), which allows CMS to add coverage of new preventive benefits 
that are recommended by the U.S. Preventive Services Task Force and are 
appropriate for Medicare beneficiaries.

Under the new proposals, Medicare would cover an annual alcohol misuse 
screening by a beneficiary's primary care provider.  The benefit would also 
include four behavioral counseling sessions per year if a beneficiary screens 
positive for alcohol misuse.  Medicare would also cover an annual screening for 
depression in primary care settings that offer staff-assisted depression care, 
so beneficiaries can receive an  accurate diagnosis, effective treatment, and 
follow-up.

Public comments are invited on today's proposed decisions for 30 days.  CMS 
will issue final coverage decisions later this year.  The proposal for 
screening and counseling for alcohol misuse is available on the CMS website at:
https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?&NcaName=Screening%20and%20Behavioral%20Counseling%20Interventions%20in%20Primary%20Care%20to%20Reduce%20Alcohol%20Misuse&bc=ACAAAAAAIAAA&NCAId=249&;

The proposal for screening and counseling for depression is available on the 
CMS website at:
https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?&NcaName=Screening%20for%20Depression%20in%20Adults&bc=ACAAAAAAIAAA&NCAId=251&;



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