Preventive Care Services

[Chaz]

The ACA requires non-grandfathered group health plans to provide the following preventive care services without cost sharing:

■ Evidenced-based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Services Task Force (USPSTF) with respect to the individual involved;
■ Immunizations for routine use in children, adolescents, and adults that have in effect a recommendation from the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) with respect to the individual involved;
■ With respect to infants, children, and adolescents, evidence-informed preventive care and screenings provided for in the comprehensive guidelines supported by the Health Resources and Services Administration (HRSA); and
■ With respect to women, evidence-informed preventive care and screening provided for in comprehensive guidelines supported by HRSA, to the extent not already included in certain recommendations of the USPSTF

I am looking for the specific primary source recommendations for each of these four categories. I have found three but cannot find any discussion of the third bullet. Can anyone provide any authority on what services need to be covered under that item? Thanks in advance.

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[leevena]

Try Healthcare.gov website, search "preventive"

I tried to cut and paste link but could not.

Is this what you are looking for?

[GMK]

is this any help?

https://complianceadministrators.com/ppaca-preventive-care-coverage-requirements/

[GMK]

to paste, you have click on the little switch at the left of the toolbar above the reply box.

Then click the switch again to get all the editing controls back.

[Chaz]

Thanks. I am really looking for the actual, comprehensive HRSA guidelines for infants, children, and adolescents.

[leevena]

thank you gmk, did not know that.

[GBurns]

It seems that HRSA has no guidelines for Infants and Children but instead uses Bright Futures. From the link provided by GMK:

https://brightfutures.aap.org/materials-and-tools/tool-and-resource-kit/Pages/default.aspx