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Electronic Code of Federal Regulations

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e-CFR Data is current as of August 21, 2014

Title 42Chapter IVSubchapter BPart 410


TITLE 42—Public Health

CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES

SUBCHAPTER B—MEDICARE PROGRAM

PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

rule

Subpart A—GENERAL PROVISIONS

§410.1
Basis and scope.
§410.2
Definitions.
§410.3
Scope of benefits.
§410.5
Other applicable rules.
rule

Subpart B—MEDICAL AND OTHER HEALTH SERVICES

§410.10
Medical and other health services: Included services.
§410.12
Medical and other health services: Basic conditions and limitations.
§410.14
Special requirements for services furnished outside the United States.
§410.15
Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and limitations on coverage.
§410.16
Initial preventive physical examination: Conditions for and limitations on coverage.
§410.17
Cardiovascular disease screening tests.
§410.18
Diabetes screening tests.
§410.19
Ultrasound screening for abdominal aortic aneurysms: Condition for and limitation on coverage.
§410.20
Physicians' services.
§410.21
Limitations on services of a chiropractor.
§410.22
Limitations on services of an optometrist.
§410.23
Screening for glaucoma: Conditions for and limitations on coverage.
§410.24
Limitations on services of a doctor of dental surgery or dental medicine.
§410.25
Limitations on services of a podiatrist.
§410.26
Services and supplies incident to a physician's professional services: Conditions.
§410.27
Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or nonphysician practitioner's service: Conditions.
§410.28
Hospital or CAH diagnostic services furnished to outpatients: Conditions.
§410.29
Limitations on drugs and biologicals.
§410.30
Prescription drugs used in immunosuppressive therapy.
§410.31
Bone mass measurement: Conditions for coverage and frequency standards.
§410.32
Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions.
§410.33
Independent diagnostic testing facility.
§410.34
Mammography services: Conditions for and limitations on coverage.
§410.35
X-ray therapy and other radiation therapy services: Scope.
§410.36
Medical supplies, appliances, and devices: Scope.
§410.37
Colorectal cancer screening tests: Conditions for and limitations on coverage.
§410.38
Durable medical equipment: Scope and conditions.
§410.39
Prostate cancer screening tests: Conditions for and limitations on coverage.
§410.40
Coverage of ambulance services.
§410.41
Requirements for ambulance suppliers.
§410.42
Limitations on coverage of certain services furnished to hospital outpatients.
§410.43
Partial hospitalization services: Conditions and exclusions.
§410.45
Rural health clinic services: Scope and conditions.
§410.46
Physician and other practitioner services furnished in or at the direction of an IHS or Indian tribal hospital or clinic: Scope and conditions.
§410.47
Pulmonary rehabilitation program: Conditions for coverage.
§410.48
Kidney disease education services.
§410.49
Cardiac rehabilitation program and intensive cardiac rehabilitation program: Conditions of coverage.
§410.50
Institutional dialysis services and supplies: Scope and conditions.
§410.52
Home dialysis services, supplies, and equipment: Scope and conditions.
§410.55
Services related to kidney donations: Conditions.
§410.56
Screening pelvic examinations.
§410.57
Pneumococcal vaccine and flu vaccine.
§410.58
Additional services to HMO and CMP enrollees.
§410.59
Outpatient occupational therapy services: Conditions.
§410.60
Outpatient physical therapy services: Conditions.
§410.61
Plan of treatment requirements for outpatient rehabilitation services.
§410.62
Outpatient speech-language pathology services: Conditions and exclusions.
§410.63
Hepatitis B vaccine and blood clotting factors: Conditions.
§410.64
Additional preventive services.
§410.66
Emergency outpatient services furnished by a nonparticipating hospital and services furnished in a foreign country.
§410.68
Antigens: Scope and conditions.
§410.69
Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic rule and definitions.
§410.71
Clinical psychologist services and services and supplies incident to clinical psychologist services.
§410.73
Clinical social worker services.
§410.74
Physician assistants' services.
§410.75
Nurse practitioners' services.
§410.76
Clinical nurse specialists' services.
§410.77
Certified nurse-midwives' services: Qualifications and conditions.
§410.78
Telehealth services.
rule

Subpart C—HOME HEALTH SERVICES UNDER SMI

§410.80
Applicable rules.
rule

Subpart D—COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF) SERVICES

§410.100
Included services.
§410.102
Excluded services.
§410.105
Requirements for coverage of CORF services.
rule

Subpart E—COMMUNITY MENTAL HEALTH CENTERS (CMHCS) PROVIDING PARTIAL HOSPITALIZATION SERVICES

§410.110
Requirements for coverage of partial hospitalization services by CMHCs.
rule

Subpart F—[RESERVED]

rule

Subpart G—MEDICAL NUTRITION THERAPY

§410.130
Definitions.
§410.132
Medical nutrition therapy.
§410.134
Provider qualifications.
rule

Subpart H—OUTPATIENT DIABETES SELF-MANAGEMENT TRAINING AND DIABETES OUTCOME MEASUREMENTS

§410.140
Definitions.
§410.141
Outpatient diabetes self-management training.
§410.142
CMS process for approving national accreditation organizations.
§410.143
Requirements for approved accreditation organizations.
§410.144
Quality standards for deemed entities.
§410.145
Requirements for entities.
§410.146
Diabetes outcome measurements.
rule

Subpart I—PAYMENT OF SMI BENEFITS

§410.150
To whom payment is made.
§410.152
Amounts of payment.
§410.155
Outpatient mental health treatment limitation.
§410.160
Part B annual deductible.
§410.161
Part B blood deductible.
§410.163
Payment for services furnished to kidney donors.
§410.165
Payment for rural health clinic services and ambulatory surgical center services: Conditions.
§410.170
Payment for home health services, for medical and other health services furnished by a provider or an approved ESRD facility, and for comprehensive outpatient rehabilitation facility (CORF) services: Conditions.
§410.172
Payment for partial hospitalization services in CMHCs: Conditions.
§410.175
Alien absent from the United States.


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