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National Coverage Analysis (NCA) Tracking Sheet for Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse (CAG-00427N)

Over the past 25 years, the Congress has expanded the Medicare benefit to include various preventive services to the Medicare Part B program such as Pap smear and screening pelvic exams, screening mammograms, colorectal cancer screening tests, and diabetes screening tests. Effective January 1, 2009, CMS is allowed to add coverage of "additional preventive services" if certain statutory requirements are met, as provided under section 101(a) of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) (Pub. L. 110-275). Among other things, this new benefit allows CMS under 42 CFR 410.64 to cover "additional preventive services", if it determines through the NCD process that the service is recommended with a grade A (strongly recommends) or grade B (recommends) rating by the United States Preventive Services Task Force (USPSTF) and meets certain other requirements.

After reviewing various preventive services given a grade A or grade B recommendation by the USPSTF, CMS has decided to initiate a new national coverage analysis (NCA) on Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse, which is recommended with a grade B by the USPSTF. We would be interested in receiving any recommendations on the appropriate frequency of this service and those qualified to provide it based on documentation from the medical literature, current clinical practice guidelines, or the USPSTF recommendations.

Additional Preventive Services
Requestor Name(s)Internally generated
Formal Request Accepted and Review Initiated02/18/2011
Expected NCA Completion Date10/17/2011
Public Comment Period02/18/2011 - 03/20/2011
Proposed Decision Memo Released07/19/2011
Proposed Decision Memo Public Comment Period: 07/19/2011 - 08/18/2011 
Decision Memo Released10/14/2011
Comments for this NCA:View Public Comments
Lead Analyst(s)
  • Maria Ciccanti
  • JoAnna Baldwin
Lead Medical Officer(s)
  • Lawrence Schott, MD, MS

February 18, 2011

Internally generated national coverage analysis (NCA). Initial 30-day public comment period begins.

July 19, 2011

The proposed decision memorandum is posted and the 30-day public comment period begins. CMS is particularly interested in receiving comments regarding frequency of screening and counseling, appropriate places of service and those appropriate to provide the service.

October 14, 2011