New services covered by Medicare

March 14, 2016

The Centers for Medicare and Medicaid Services (CMS) has announced new information about coverage under Medicare. CMS requires that Priority Health notify its members of this information on our website and in our member publication.

What does this mean to me?

This is an announcement of new coverage rules. The new rules do not affect all members.

What are the new coverage rules?

There are four recent National Coverage Determinations (NCDs) that have added new coverage or expanded what is already covered.

Allogeneic stem cell transplantation clinical studies

CMS is expanding national coverage for allogeneic hematopoietic stem cell transplantation (HSCT) for three separate medical conditions: Multiple Myeloma, Myelofibrosis, and Sickle Cell Disease.

Left atrial appendage closure (LAAC)

CMS covers percutaneous left atrial appendage closure (LAAC) for non-valvular atrial fibrillation (NVAF) through Coverage with Evidence Development (CED) for certain conditions.

Screening for cervical cancer with human papillomavirus

CMS is expanding preventive health coverage to screening for cervical cancer with human papillomavirus (HPV) once every 5 years for asymptomatic female beneficiaries aged 30 to 65 years in conjunction with the Pap smear test.

Screening for the human immunodeficiency virus (HIV)

CMS is expanding preventive health coverage to screening for the human immunodeficiency virus (HIV) infection at a maximum of one, annual, voluntary screening for adolescents 15 or older and adults through age 65 without regard to perceived risk as well as for those at increased risk for HIV infection.