What is Included in an Initial Annual Wellness Visit (AWV) with Personalized Prevention Plan Services (PPPS)?
The initial AWV providing PPPS provides for the following services to an eligible beneficiary by a health professional:
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Establishment of an individual’s medical/family history.
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Establishment of a list of current providers and suppliers that are regularly involved in providing medical care to the individual.
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Measurement of an individual’s height, weight, BMI (or waist circumference, if appropriate), BP, and other routine measurements as deemed appropriate, based on the beneficiary’s medical/family history.
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Detection of any cognitive impairment that the individual may have as defined in this section.
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Review of the individual’s potential (risk factors) for depression, including current or past experiences with depression or other mood disorders, based on the use of an appropriate screening instrument for persons without a current diagnosis of depression.
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Review of the individual’s functional ability and level of safety based on direct observation, or the use of appropriate screening questions or a screening questionnaire.
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Establishment of a written screening schedule for the individual, such as a checklist for the next 5 to 10 years, as appropriate, based on recommendations of the United States Preventive Services Task Force (USPSTF) and the Advisory Committee on Immunization Practices (ACIP), as well as the individual’s health status, screening history, and age-appropriate preventive services covered by Medicare.
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Establishment of a list of risk factors and conditions for which interventions are recommended or are underway for the individual, and a list of treatment options and their associated risks and benefits.
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Furnishing of personalized health advice to the individual and a referral, as appropriate, to health education or preventive counseling services or programs aimed at reducing identified risk factors and improving selfmanagement, including weight loss, physical activity, smoking cessation, fall prevention, and nutrition.
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Voluntary advance care planning upon agreement with the individual.
This is not a comprehensive medical exam. A comprehensive exam can be scheduled for another visit.
