Annual Wellness Visit: SDOH Risk Assessment - Revised

Related CR Release Date: August 15, 2024
Effective Date: January 1, 2024
Implementation Date: October 7, 2024
MLN Matters Number: MM13486 Revised
Related Change Request (CR) Number: CR 13486
Related CR Transmittal Numbers: R12786BP & R12786CP

Note: CMS clarified that MACs would process G0136 using the Physician Fee Schedule (page 3). CMS also updated the CR release date and transmittal links. Substantive content changes are in dark red.

CR 13486 tells you about:

  • A social determinants of health (SDOH) risk assessment is now an optional annual wellness visit (AWV) element
  • The eligibility and billing requirements for doing the SDOH as part of the AWV

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13486.

Last Updated Aug 29 , 2024