Preventive Services Covered Under the Affordable Care Act

If you have a new health insurance plan or insurance policy beginning on or after September 23, 2010, the following preventive services must be covered without your having to pay a copayment or co-insurance or meet your deductible. This applies only when these services are delivered by a network provider. 

• Covered Preventive Services for Adults
• Covered Preventive Services for Women, Including Pregnant Women
• Covered Preventive Services for Children

Covered Preventive Services for Adults

• Abdominal Aortic Aneurysm one-time screening for men of specified ages who have ever smoked
• Alcohol Misuse screening and counseling
• Aspirin use for men and women of certain ages
• Blood Pressure screening for all adults
• Cholesterol screening for adults of certain ages or at higher risk
• Colorectal Cancer screening for adults over 50
• Depression screening for adults
• Type 2 Diabetes screening for adults with high blood pressure
• Diet counseling for adults at higher risk for chronic disease
• HIV screening for all adults at higher risk
• Immunization vaccines for adults--doses, recommended ages, and recommended populations vary:
• Hepatitis A
• Hepatitis B
• Herpes Zoster
• Human Papillomavirus
• Influenza (Flu Shot)
• Measles, Mumps, Rubella
• Meningococcal
• Pneumococcal
• Tetanus, Diphtheria, Pertussis
• Varicella
• Learn more about immunizations and see the latest vaccine schedules.
• Obesity screening and counseling for all adults
• Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk
• Tobacco Use screening for all adults and cessation interventions for tobacco users
• Syphilis screening for all adults at higher risk

Covered Preventive Services for Women, Including Pregnant Women

Note: Services marked with an asterisk ( * ) must be covered with no cost-sharing in plan years starting on or after August 1, 2012. See Affordable Care Act Rules on Expanding Access to Preventive Services for Women.

• Anemia screening on a routine basis for pregnant women
• Bacteriuria urinary tract or other infection screening for pregnant women
• BRCA counseling about genetic testing for women at higher risk
• Breast Cancer Mammography screenings every 1 to 2 years for women over 40
• Breast Cancer Chemoprevention counseling for women at higher risk
• Breastfeeding comprehensive support and counseling from trained providers, as well as access to breastfeeding supplies, for pregnant and nursing women*
• Cervical Cancer screening for sexually active women
• Chlamydia Infection screening for younger women and other women at higher risk
• Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, not including abortifacient drugs*
• Domestic and interpersonal violence screening and counseling for all women*
• Folic Acid supplements for women who may become pregnant
• Gestational diabetes screening for women 24 to 28 weeks pregnant and those at high risk of developing gestational diabetes*
• Gonorrhea screening for all women at higher risk
• Hepatitis B screening for pregnant women at their first prenatal visit
• Human Immunodeficiency Virus (HIV) screening and counseling for sexually active women*
• Human Papillomavirus (HPV) DNA Test: high risk HPV DNA testing every three years for women with normal cytology results who are 30 or older*
• Osteoporosis screening for women over age 60 depending on risk factors
• Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk
• Tobacco Use screening and interventions for all women, and expanded counseling for pregnant tobacco users
• Sexually Transmitted Infections (STI) counseling for sexually active women*
• Syphilis screening for all pregnant women or other women at increased risk
• Well-woman visits to obtain recommended preventive services for women under 65*

Covered Preventive Services for Children

• Alcohol and Drug Use assessments for adolescents
• Autism screening for children at 18 and 24 months
• Behavioral assessments for children of all ages
  Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
• Blood Pressure screening for children
  Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
• Cervical Dysplasia screening for sexually active females
• Congenital Hypothyroidism screening for newborns
• Depression screening for adolescents
• Developmental screening for children under age 3, and surveillance throughout childhood
• Dyslipidemia screening for children at higher risk of lipid disorders
  Ages: 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
• Fluoride Chemoprevention supplements for children without fluoride in their water source
• Gonorrhea preventive medication for the eyes of all newborns
• Hearing screening for all newborns
• Height, Weight and Body Mass Index measurements for children
  Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
• Hematocrit or Hemoglobin screening for children
• Hemoglobinopathies or sickle cell screening for newborns
• HIV screening for adolescents at higher risk
• Immunization vaccines for children from birth to age 18 —doses, recommended ages, and recommended populations vary:
• Diphtheria, Tetanus, Pertussis
• Haemophilus influenzae type b
• Hepatitis A
• Hepatitis B
• Human Papillomavirus
• Inactivated Poliovirus
• Influenza (Flu Shot)
• Measles, Mumps, Rubella
• Meningococcal
• Pneumococcal
• Rotavirus
• Varicella
• Learn more about immunizations and see the latest vaccine schedules.
• Iron supplements for children ages 6 to 12 months at risk for anemia
• Lead screening for children at risk of exposure
• Medical History for all children throughout development
  Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
• Obesity screening and counseling
• Oral Health risk assessment for young children
  Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years.
• Phenylketonuria (PKU) screening for this genetic disorder in newborns
• Sexually Transmitted Infection (STI) prevention counseling and screening for adolescents at higher risk
• Tuberculin testing for children at higher risk of tuberculosis
  Ages: 0 to 11 months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17 years.
• Vision screening for all children

Learn more about the U.S. Preventive Services Task Force Recommendations.

For more information about the Affordable Care Act (ACA) visit www.healthcare.gov.

Funding Opportunity for Women's Health Conference Support

The Department of Health and Human Services (HHS), Office on Women’s Health (OWH) has opened a funding opportunity.

If you would like to submit a proposal for the Women's Health Conference Support funding opportunity, please complete all sections of the Request for Proposal (RFP) and e-mail to John Snow, Inc. (JSI) at owhapplication@jsi.com by Monday, August 13, 2012 at 5:00 p.m. Mountain Time.

Please note, proposals will be not be accepted by the Office on Women’s Health.

For a copy of the RFP and for any additional help, please e-mail: owhapplication@jsi.com or call toll-free: 1-866-224-3815.

  

John Snow, Inc.
owhapplication@jsi.com
866-224-3815

Interactive Webinars on the Health Care Law

Affordable Care Act Conference Calls

You are invited to: 

 Interactive Webinars on the Health Care Law

Hosted By the HHS Center for Faith-Based and Neighborhood Partnerships 

 National Webinars

July 19, 12:30 pm ET – The Health Care Law 101 (in English)

July 24, 2:00 pm ET – The Health Care Law 101 (in Spanish)

Regional Webinars

July 12, 3:00 pm ET – Region 3 (Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia)

July 12, 3:00 pm MT/4:00 pm CT – Region 8 (Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming)

July 17, 10:30 am CT – Region 7 (Iowa, Kansas, Missouri, Nebraska)

August 8, 11:00 am ET – Region 1 (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont)

To participate in one of the webinars, please select your preferred date from the list above and submit the necessary information. 
Please email any questions to ACA101@hhs.gov.

Did you know...?

• young adults can stay on their parent’s health insurance until the age of 26, even if they don’t live at home or are married?
• there is now a plan for people with pre-existing conditions to access health insurance called the Pre-Existing Condition Insurance Plan?

There are millions of people who lack access to health care, essential for healthy children, families and communities, throughout the United States.  Many families don’t know what their options are to access better care.
NOW YOU CAN LEARN MORE about many provisions that are currently in place that could help you and those in your congregation or community.
The Affordable Care Act expands access to care, ends abuses of insurers, and makes health care more affordable.  The law helps those with pre-existing health conditions, people who are under age 26 and without health insurance, the most vulnerable in our society and those who are currently insured.  To learn more about the health care law and how to access health care benefits in your community, RSVP to attend our conference calls from the dates listed above.

Tobacco Prevention and Conrol Program Telehealth Series: Pacific Islanders in Utah

Participants will:

• Increase their understanding of Pacific Islanders and their culture
• Receive an overview of The Queen Center's mission and services
• Learn about health disparities among Pacific Islanders
• Learn how to better serve and work with Pacific Islanders

“Bridging the Gap” medical interpreter training course offered this fall

The Utah Department of Health Bureau of Epidemiology will be offering a 5-day “Bridging the Gap” medical interpreter training course in October 17-18, Nov 1-2 and 8, 2012.  This training will be held at the Department of Workforce Service (DWS) at 1385 State Street, Salt Lake City, Utah. Classes will begin promptly at 8:00 am and will continue until 4:00 pm.

There will be no registration fee to attend this training and the course materials will be provided to you free of charge.  However, participants will be expected to attend the course in its entirety.  In addition to being fluent in English, all applicants MUST be fluent in a second language and must be willing to act as medical interpreters.  Priority will be given to applicants who work within the refugee health, Tuberculosis control, HIV, STD & Hepatitis prevention setting. Participants who miss any portion of the training will be required to leave the course materials and the training.

All participants who attend the entire forty-hour training and successfully complete the final exam will receive a certificate of completion.  If you have staff whom you think could benefit from this course, please fill out the application and return it by September 7, 2012.  Enrollment is limited to 20 participants, so, it is critical that only those persons willing to commit to the entire forty-hour course apply. 

If you have questions concerning this course or would like an application, please feel free to contact Jelena Pasalik by email at jpasalic@utah.gov  or at (801) 538-6977.  We look forward to seeing your applications.

Expanding the National Diabetes Prevention Program Network— New Funding Available

Expanding the National Diabetes Prevention Program Network—

New Funding Available

Access the FOA and Application Package Online

Application deadline is Tuesday, July 31, 2012, 5:00pm, EST

A new funding opportunity announcement (FOA) has been released by the Centers for Disease Control and Prevention. The FOA is entitled PPHF 2012 - National Diabetes Prevention Program: Preventing Type 2 Diabetes Among People at High Risk, Financed Solely by 2012 Prevention and Public Health Funds.

The FOA will result in the awarding of up to eight grants totaling approximately $6 million t expand the National Diabetes Prevention Program. Funding will be used to help organizations receiving grants to establish a structured, evidence-based lifestyle change program designed to prevent type 2 diabetes among people at high risk. Grantee organizations will use existing networks in multiple states to increase the number of cities and towns across the United States in which classes will be offered.

Organizations eligible to apply for funds through this FOA include the following:

    Nonprofit and for-profit organizations.

    Indian/Native American tribal governments.

    Faith-based organizations.

Awardees must offer a lifestyle change program consistent with the Diabetes Prevention Recognition Program Standards and Operating Procedures, available here.

For additional information, including FAQs and a schedule of pre-application support calls about this FOA, visit www.cdc.gov/diabetes/prevention/foa.

For general information about the National Diabetes Prevention Program, visit the National DPP Web site.