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 for STIs and HIBC, to include:
The NCA will evaluate the available evidence for the screening for STIs and HIBC for the prevention of STIs. We would be interested in receiving any recommendations on the appropriate frequency of these services and those qualified to provide them, based on documentation from the medical literature, current clinical practice guidelines, or the USPSTF recommendations. HIV screening will not be included in this NCA as it is already covered http://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=335&ncdver=1&bc=BAAAgAAAAAAA&
Internally generated national coverage analysis (NCA). Initial 30-day public comment period begins.
CMS considers all public comments, and is particularly interested in comments regarding clinical studies and other scientific information about the services under review and the outcomes.
Instructions on submitting public comments can be found at http://www.cms.hhs.gov/InfoExchange/02_publiccomments.asp . You can also submit a public comment by clicking on the highlighted word COMMENT in the title bar at the top of this page. We strongly urge that all public comments be submitted through this website. Please do not submit personal health information in public comments. Comments with personal health information may not be posted to the website.
Proposed decision memorandum posted and 30 day public comment period begins. CMS is most interested in comments that include evidence we did not review or that assess how we evaluated the evidence included.