Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
Section 101(b) of the MIPPA also amended section
1861(ww)(1) of the Act (the IPPE benefit) by adding the
“additional preventive services” benefit to the list of
screening and preventive services for which physicians and
other qualified nonphysician practitioners must provide
“education, counseling and referral.” The Congress also
extended the time period that newly eligible Part B
beneficiaries can obtain the IPPE benefit from 6 months to
the first 12 months after the effective date of their first
Part B coverage period. Therefore, we are amending
§410.16(a)(7) to reflect the additional education,
counseling and referral responsibilities that physicians
and other practitioners will have under the IPPE benefit
for the electrocardiogram and the “additional preventive
services” that may be covered in the future.
As mentioned above, the Congress extended the
eligibility period for beneficiaries from 6 months to
1 year as provided in section 1862(a)(1)(K) of the Act.
This statute is effective for services furnished on or
after January 1, 2009. We are revising the present
definition of the term “eligible beneficiary” in §410.16(a)
to read as follows: “Eligible beneficiary” means an
individual who receives his or her IPPE not more than
810