Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse (Medicare Learning Network)

November 8th, 2013

The Medicare Learning Network (DHHS Centers for Medicare & Medicaid Services) has just released the revised booklet,Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse.

Notable revisions include:

  • Medicare waives the coinsurance or co-payment and deductible for those Medicare-covered preventive services recommended by the United States Preventive Services Task Force (USPSTF) with a grade of A or B
  • Medicare covers annual alcohol misuse screenings, and for those who screen positive, up to four brief face-to-face behavioral counseling interventions in a 12-month period
  • Expansion of telehealth to include Medicare-covered screening and behavioral counseling interventions in primary care to reduce alcohol misuse
  • Each behavioral counseling intervention should be consistent with the 5A’s approach adopted by the USPSTF
  • Revised coding and diagnosis information
  • Revised billing and coding requirements when submitting electronic claims
Posted in SBIRT


A Project of the Governor's Institute on Alcohol & Substance Abuse and the North Carolina Society of Addiction Medicine.
Funded wholly or in part by the federal Substance Abuse Prevention and Treatment Block Grant Fund (CFDA #93.959) as a project of the NC Division of Mental Health, Developmental Disabilities & Substance Abuse Services.