Sec. 229.
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Section 1848(b) of the Social Security Act ( 42 U.S.C. 1395w–4(b) ) is amended by adding at the end the following new paragraph: In order to care for individuals with Alzheimer’s disease or related dementias the Secretary shall, subject to subparagraphs
(B)and (C), make payment (as the Secretary determines to be appropriate) under this section for a care planning session furnished on or after January 1, 2018, by a physician (as defined in section 1861(r)(1)), physician assistant or nurse practitioner (as defined in section 1861(aa)(5)(A)), clinical nurse specialist (as defined in section 1861(aa)(5)(B)), or other practitioners deemed appropriate by the Secretary. In carrying out this paragraph, the Secretary shall— make payment to only one applicable provider for a care planning session furnished to a beneficiary diagnosed with Alzheimer’s or related dementia; not make payment under subparagraph
(A)if such payment would be duplicative of payment that is otherwise made under this title; and not require that an annual wellness visit (as defined in section 1861(hhh)) or an initial preventive physical examination (as defined in section 1861(ww)) be furnished as a condition of payment for such care planning session. A care planning session provided under this paragraph shall include the following: An explanation of Alzheimer’s disease or related dementias, as well as the expected progression of the disease and related dementias as appropriate. Creation of a patient-centered comprehensive care plan, as determined appropriate by the Secretary. Information regarding treatment options. A discussion of resources and services available in the individual’s community that may reduce the individual’s health risks and promote self-management of Alzheimer’s disease or related dementias. Other information, as determined appropriate by the Secretary. The Secretary shall seek input from physicians, practitioners, and other stakeholders regarding the structure of care planning sessions provided under this paragraph. .
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- 42 USC 1395w–4(b)
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Sec. 229
Cite42 USC 1395w–4(b)
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