Provider Preventive Resources
Guidance for Medicare providers with resources on all preventive services, immunizations, Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV), Medicare Diabetes Prevention Program (MDPP), Screening Pap Test and Pelvic Examination, Mental Health, and Additional Resources.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 25, 2020
Immunizations: Flu, Pneumococcal, & Hepatitis B
Medicare Diabetes Prevention Program (MDPP)
Screening Pap Test and Pelvic Examination
All Preventive Services
- Coverage, coding & billing
- Preventive and Screening Services (PDF): Medicare Claims Processing Manual, Chapter 18
- Quick Reference Poster (PDF) for your billing office: Learn how to use our resource
- Information for your patients on Medicare.gov
Immunizations: Flu, Pneumococcal, & Hepatitis B
- Influenza vaccine: Coverage & payment rates
- Roster billing: Coverage requirements, elements & centralized billing for mass immunizers
- Immunizations (PDF): Medicare Benefit Policy Manual - Chapter 15: Section 50.4.4.2
- Part D vaccines: Administration, coverage & billing (PDF)
- Pneumococcal shot & administration
- Hepatitis B shot & administration
Medicare Wellness Visits
- Medicare Wellness Visits
- Advance care planning during MWV: Eligibility, diagnosis, coding & billing (PDF)
Medicare Diabetes Prevention Program (MDPP)
- MDPP expanded model: Become a supplier, refer patients & submit claims (enrolled suppliers) (PDF)
- Pre-diabetes services: Refer your patients & find suppliers (PDF)
- Becoming an MDPP supplier or an accredited diabetes self-management training provider (PDF)
Screening Pap Test & Pelvic Examination
Mental Health
Additional Resources
- Agency for Healthcare Research & Quality
- Centers for Disease Control and Prevention
- Health.gov
- HealthyPeople.gov
- Million Hearts®
- National Institute of Diabetes and Digestive and Kidney Diseases
- Smokefree.gov
- Vaccines.gov
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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.