Medicare Preventive Services

7. Medicare Preventive Services
*7.1 Women with Medicare - Visiting Your Doctor for a Pap Test, Pelvic Exam, and Clinical Breast Exam*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/02248.pdf		7/05	15		CMS	Beneficiary	02248
This booklet explains the preventive services for women covered by Original Medicare. It also explains what Medicare pays and what the person with Medicare will pay.
Spanish
*7.2 Guide to Medicare's Preventive Services*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/10110.pdf		3/07	20		CMS	Beneficiary	10110
This booklet explains all of the preventive services that Medicare covers, including the Welcome to Medicare Physical Exam (IPPE), cardiovascular screening, cancer tests, and other services.
Spanish	Braille			Audiotape (English)
*7.3 Staying Healthy: Medicare’s Preventive Services*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/11100.pdf		9/06	4		CMS	Beneficiary	11100
This fact sheet summarizes all preventive services Medicare covers, including the Welcome to Medicare Physical Exam (IPPE), cardiovascular screening, cancer tests, and other services.
Spanish
*7.4 Stay Healthy with Medicare Preventive Services-CURRENTLY IN DEVELOPMENT*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
TBD					CMS		11295
This publication will provide an overview of Medicare Preventive Services
*7.5 Expansion of Glaucoma Screening Services*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/ContractorLearningResources/ downloads/JA4365.pdf		3/06	2		CMS	Partner	Notice
This Medicare Learning Network (MLN) latest notice on the subject explains to providers the expanded coverage of Glaucoma Screening for individuals with Medicare to include Hispanic Americans, age 65 and over.
*7.6 MLN Matters Article – Medicare Provides Coverage for Many Preventive Services and Screenings*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNMattersArticles/ downloads/SE0630.pdf		6/06	6		CMS	Partner	SE0630
This notice provides information about the array of preventive services and screenings for which Medicare provides payment and lists the many resources developed by CMS to educate health care professionals about these services.
*7.7 MLN Medicare Preventive Services Series: Part 3 Expanded Benefits, Web-Based Training (WBT)*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://cms.meridianksi.com/kc/login/portal.asp?kc_ident=kc0001		5/06	N/A		CMS	Partner	Multimedia
This web-based (multimedia) training course for health care professionals provides information about Medicare’s coverage for the Welcome to Medicare physical, cardiovascular, diabetes, colorectal, prostate, glaucoma and bone mass measurement screenings as well as medical nutrition therapy, diabetic supplies and diabetes education and management. 0.2 continuing education credits may be awarded for successful completion of the course. The link takes user to the MLN Home Page. Click on the “Web-Based Training Courses” Link and Search for Preventive Services Series. Additional web-based courses are available for providers on Adult Immunizations (August 2006) and Women’s Health (August 2006).
*7.8 Medicare Preventive Services. Expanded Benefits Brochure*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
www.cms.hhs.gov/MLNProducts/downloads/ expanded_benefits_06-08-05.pdf		5/05	2		CMS	Partner	Notice
This job aid, visual aid, or tool (brochure) provides medical providers with information about the Initial Preventive Physical Examination (IPPE), cardiovascular screening blood tests, and diabetes screening tests.
*7.9 Medicare Preventive Services. Bone Mass Measurements Brochure*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
www.cms.hhs.gov/MLNProducts/downloads/ bone_mass_06-08-05.pdf		5/05	2		CMS	Partner	Notice
This job aid, visual aid, or tool (brochure) provides healthcare professionals a basic overview of Medicare's bone mass measurements (bone density studies) benefit.
*7.10 Medicare Preventive Services. Cancer Screenings Brochure*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNProducts/downloads/ cancer_screening_06-08-05.pdf		5/05	2		CMS	Partner	Tool
This job aid, visual aid, or tool (brochure) provides a basic overview of Medicare's mammography screening, screening Pap test, pelvic screening examination, colorectal cancer screening, and prostate cancer screening benefit.
*7.11 Medicare Preventive Services. Glaucoma Screening Brochure*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
www.cms.hhs.gov/MLNProducts/downloads/ glaucoma_06-08-05.pdf		8/06	2		CMS	Partner	Tool
This job aid, visual aid, or tool (brochure) provides a basic overview of Medicare's glaucoma screening benefit.
*7.12 Medicare Preventive Services. Adult Immunizations Brochure*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNProducts/downloads/ Adult_Immunization_06-08-05.pdf		5/05	2		CMS	Partner	Tool
This job aid, visual aid, or tool (brochure) provides a basic overview of Medicare's Influenza Vaccine, Pneumococcal Polysaccharide Vaccine (PPV), and Hepatitis B Vaccine benefits.
*7.13 Quick Reference Information: Medicare Preventive Services*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNProducts/downloads /MPS_QuickReferenceChart_1.pdf		5/05	2		CMS	Partner	Tool
This job aid, visual aid, or tool provides the service, HCPCS or CPT Code, ICD-9 Codes, explains who is covered, the frequency in which the service is covered, and the beneficiary's responsibility.
*7.14 Medicare Preventive Services. Smoking and Tobacco-Use Cessation Counseling Services Brochure*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNproducts/downloads/smoking.pdf		3/06	2		CMS	Partner	MLN ICN006767
This job aid, visual aid, or tool provides a basic overview of Medicare’s smoking and tobacco-use cessation counseling benefit.
*7.15 Colorectal Cancer Basic Facts on Screening*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/11011.pdf		3/02	2		CMS	Beneficiary	11011
This fact sheet provides a very basic understanding of Colorectal Cancer and screening options. Simpler and lower literacy version of the detailed fact sheet titled “Colorectal Cancer Facts on Screening”
Spanish
*7.16 5 Steps to Safer Health Care*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/11123.pdf		3/05	1		CMS	Beneficiary	11123
This fact sheet provides five easy tips for ensuring safe health care, such as ask questions when you have doubt or concern, keep and bring a list of all medicines you take to the doctor, get the results of all tests, talk to your doctor about which hospital is best for you, and make sure you understand what will happen if you need surgery.
*7.17 Colorectal Cancer Facts on Screening*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/11012.pdf		3/02	2		CMS	Beneficiary	11012
This fact sheet provides detailed information on colorectal cancer and screening. Includes a chart with information about each screening test (e.g., purpose, important considerations, Medicare/insurance coverage, etc.).
Spanish
*7.18 CRC (Colorectal Cancer) Facts for People with Medicare*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/11040.pdf		4/03	1		CMS	Beneficiary	11040
This fact sheet includes information on Medicare coverage and payment for colorectal cancer (CRC) screening, screening tests, risk, why screening saves lives, symptoms, who gets colorectal cancer, etc.
*7.19 CRC (Colorectal Cancer) Screening – For People with Medicare*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/11039.pdf		4/03	2		CMS	Beneficiary	11039
This job aid, visual aid, or tool (brochure) is on Medicare coverage and payment for colorectal cancer (CRC) screening, Medicare contact information, types of tests, how screening saves lives, symptoms, insurance coverage, etc.
*7.20 CRC (Colorectal Cancer) Screening Saves Lives*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/11010.pdf		3/02	2		CMS	Beneficiary	11010
This job aid, visual aid, or tool (brochure) provides information on the different types of colorectal cancer (CRC) screening tests, how screening saves lives, who is at high risk, symptoms, and insurance coverage.
*7.21 PAP Tests for Older Women*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/10149.pdf		1/04	2		CMS	Beneficiary	10149
This job aid, visual aid, or tool (brochure) provides answers to commonly asked questions from older women about Pap tests, HPV, and the Medicare benefit for Pap test screening.
*7.22 Cervical Cancer Screening - Online Resources*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/CervicalCancerScreening/		12/05	N/A		CMS	Beneficiary	Link
A site, web page, or URL explaining the pap test and cervical cancer screening and providing links to additional information from the CDC, National Cancer Institute, American Cancer Society, U.S. Preventive Services Task Force.
*7.23 Prostate Cancer Screening: A Decision Guide for Men with Medicare*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/11042.pdf		6/03	20		CMS	Beneficiary	11042
This booklet provides information on prostate cancer, screening, and treatment to help men with Medicare make informed decisions. Includes Medicare coverage and payment information.
*7.24 New in 2007 ~ Medicare Now Provides Coverage for a One-time Ultrasound Screening for Abdominal Aortic Aneurysms as Part of the Initial Preventive Physical Examination*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNProducts/Downloads/AAAFinal5Mar07.pdf		3/07	1		CMS	Partner	Notice
This notice explains the Medicare coverage guidelines for Abdominal Aortic Aneurysm screening benefit and provides links to additional resources.
*7.25 Mammograms & Breast Health: An Information Guide for Women.*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.medicare.gov/Publications/Pubs/pdf/11117.pdf		3/06	24		CMS	Beneficiary	11117
This booklet explains the mammogram exam; including how and why it is used. It provides basic information regarding the breast and breast health.
*7.26 2006 – 2007 Influenza (Flu) Season Educational Products and Resources*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0667.pdf		9/06	5		CMS	Partner	Tip Sheet
This tip sheet web page, or URL provides additional links to flu related educational products developed by CMS for provider use and links to other resources in which clinicians may find useful information and tools for the 2006 – 2007 flu season. Learn more.
*7.27 Home and Community-Based Services (HCBS) – Promising Practices Reports*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/PromisingPractices/HCBSPPR/list.asp		3/07	N/A		CMS	Partner	Link
Library of reports highlighting promising practices in home and community-based services offered by states to enable persons of any age who have a long-term illness or disability to live in the most integrated community setting appropriate to their individual support requirements and preferences.
*7.28 CMS Prevention Toolkit*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/PrevntionGenInfo/Downloads/Prevtoolkit2.zip		2006	N/A		CMS	Partner	Tool
This job aid, visual aid, or tool contains a library of resources – fact sheet, FAQ, newsletter article, poster, brochures (English & Spanish) – that may be useful in communicating about Medicare preventive benefits.
*7.29 Train–the–Trainer Module 7. Medicare-Covered Preventive Services*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/NationalMedicareTrainingProgram/TL/list.asp		1/07	39		CMS	Partner	Classroom
Introductory classroom training module used at national Medicare workshops to present information about preventive services covered by Medicare. PowerPoint slides with speaker’s notes. Also available in Spanish. Visit the Training Library for updates.
Spanish
*7.30 Steps to a HealthierUS- Cooperative Agreement Program*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cdc.gov/steps		2/07	N/A		CDC	Partner	Link
This site, web page, or URL includes Steps to a HealthierUS is an initiative of the U.S. Department of Health and Human Services (HHS) that advances the Healthier U.S. goal of helping Americans live longer, better, and healthier lives. Through the CDC, the Steps initiative operates a cooperative agreement program office that provides funding to 40 communities nationwide to support evidence-based community interventions. These interventions focus on reducing the burden of diabetes, obesity, and asthma, and address three related risk behaviors—physical inactivity, poor nutrition, and tobacco use.
*7.31 Immunizers’ Question & Answer Guide to Medicare Coverage of Influenza and Pneumococcal Vaccination*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/AdultImmunizations/ Downloads/0506qanda033006.pdf		9/05	55		CMS	Partner	Tool
This FAQ tool addresses immunizers’ commonly asked questions (Q&A, QA) about the administration of influenza and pneumococcal vaccines to Medicare patients. Provides a summary of the current recommendations of the Advisory Committee on Immunization Practices (ACIP) as they relate to adult immunization; Medicare coverage and payment policy; requirements for mass immunizers and centralized billing; and a brief discussion of managed care. In addition, a list of definitions is included.
*7.32 MLN Medicare Preventive Services Series: An Overview of Medicare Preventive Services for Physicians, Providers, Suppliers and Other Health Care Professionals, Web-Based Training (WBT)*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://cms.meridianksi.com/kc/login/portal.asp?kc_ident=kc0001		7/06	N/A		CMS	Partner	Multimedia
This web-based (multimedia) module is offered as a DVD (ICN6644), or as a video (ICN6646) about 75 minutes in length. This course is for health care professionals involved in providing preventive services to Medicare beneficiaries – physicians, providers, suppliers, etc. It provides information on risk factors associated with various preventable diseases and highlights the importance of prevention, detection, and early treatment of disease. Approved for 0.1 CEU upon successful completion.
*7.33 National Diabetes Education Program Web site*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://ndep.nih.gov/campaigns/tools.htm		N/A	N/A		NIH	Partner	Link
A library of customizable online resources for diabetes education hosted by NIH, featuring public service announcements, sample articles, fact sheets, and a publications catalog for consumers, healthcare professionals and organizations in over a dozen languages. It is already adapted for use with many audiences - African American, Asian American, Hispanic and more. The National Diabetes Education Program is a federally funded program sponsored by the U.S. Department of Health and Human Services' National Institutes of Health and the Centers for Disease Control and Prevention and includes over 200 partners at the federal, state, and local levels, working together to reduce the morbidity and mortality associated with diabetes."
*7.34 Medicare Covers America Cable Show*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/Multimedia/05_MM_CableShow.asp		3/07	N/A		CMS	Partner	Multimedia
This multimedia item is a health information cable television series produced by CMS. Each cable show provides up-to-date information about Medicare issues and resources to help people with Medicare stay healthy, save money, and help others. The cable series features a different cover story every other month, aired by participating cable stations across the country. Contact e-mail: Cable@CMS.HHS.GOV
*7.35 The Guide to Medicare Preventive Services for Physicians, Providers, Suppliers and Other Health Professionals Reference:* *Errata*:
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNProducts/ downloads/mps_guide_web-061305.pdf		6/06	196		CMS	Partner	Reference
This comprehensive reference gives the provider community updated information on Medicare preventive services and screenings. It informs healthcare professionals that bill Medicare fee-for-service contractors about coverage, coding, billing and reimbursement for these services. This guide also helps providers understand Medicare's coverage and requirements regarding preventive services and educate beneficiaries about Medicare benefits for which they may be eligible. This information may be useful for physicians, non-physician practitioners, and front office and billing staff. Errata
*7.36 MLN Product Ordering Page*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://cms.meridianksi.com/kc/login/portal.asp?kc_ident=kc0001 Click on “Request a Product”		N/A	N/A		CMS	Partner	Tool
Online tool. The MLN Product Ordering Page allows orders free of charge for MLN products. Products may be reprinted or redistributed as necessary. Click on the title to view, download, or print the publication. Some print products are only available as a download while others are available as a download and in a hardcopy format. CMS developed MLN products for use by the Medicare healthcare community and may not be appropriate for mass distribution to Medicare beneficiaries.
*7.37 Determining a Medicare Beneficiary’s Eligibility for Medicare Preventive Services*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNProducts/downloads/ Preventive_Services_Eligibility.pdf		9/05	20		CMS	Partner	Tool
This job aid, visual aid, or tool instructs health care providers on how to access preventive services eligibility data, how eligibility dates are calculated, and how to interpret the eligibility messages. It provides information on interpreting the Medicare beneficiary preventive services next eligible date data and is intended to supplement the educational materials already available for the HIQA, HIQH, HUQA, ELGA, ELGB, and ELGH eligibility inquiry screens used to access CFW records. It is available as a download only.
*7.38 Medicare Preventive Services Bookmark*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNProducts/downloads/medprevsrvcesbkmrk.pdf		1/07	1		CMS	Partner	Tool
This job aid, visual aid, or tool (bookmark) reminds healthcare professionals about the many preventive and screening services covered by Medicare and encourages them to talk with their patients about these benefits.
*7.39 MLN Preventive Services Educational Products Web Page*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/MLNProducts/35_PreventiveServices.asp		3/07	N/A		CMS	Partner	Link
This Medicare Learning Network (MLN) library gives Medicare fee-for-service providers descriptions and product ordering information for all provider/supplier educational preventive services products. It is designed to promote and increase national awareness of the preventive benefits covered by Medicare, provide information that will help health care professionals encourage patient utilization of benefits that they may be eligible for and give information to health care professionals that will help them to file claims effectively.
*7.40 Information Partners Can Use On: Important Updates to Medicare’s Diabetes-Related Covered Services in 2007*
Web Address		Pub Date	No. of Pages		Published By	Appropriate Audience	Pub Number/ Type
http://www.cms.hhs.gov/partnerships/downloads/11274_P.pdf		3/07	4		CMS	Partner	11274-P
As of January 1, 2007, Medicare has added more coverage for services that affect people with diabetes. This tip sheet provides highlights of the changes that may affect people with Medicare with or at risk for diabetes. It also contains a chart that provides a summary of some of the Part B covered preventive services that may be available for people with Medicare with or at risk for diabetes.
Spanish

Resource Guide for Partners

Medicare Preventive Services

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Braille

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