42 CFR Part 410
PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
- PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter B—Medicare Program
- Subpart A—General Provisions
- § 410.1 Basis and scope.
- § 410.2 Definitions.
- § 410.3 Scope of benefits.
- § 410.5 Other applicable rules.
- 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, prosthetics, orthotics and supplies (DMEPOS): 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 providers and suppliers.
- § 410.42 Limitations on coverage of certain services furnished to hospital outpatients.
- § 410.43 Partial hospitalization services: Conditions and exclusions.
- § 410.44 Intensive outpatient 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.
- § 410.53 Marriage and family therapist services.
- § 410.54 Mental health counselor services.
- § 410.55 Services related to kidney donations: Conditions.
- § 410.56 Screening pelvic examinations.
- § 410.57 Preventive vaccines.
- § 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.
- § 410.67 Medicare coverage and payment of Opioid use disorder treatment services furnished by Opioid treatment programs.
- § 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.
- § 410.72 Registered dietitians' and nutrition professionals' 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.
- § 410.79 Medicare Diabetes Prevention Program expanded model: Conditions of coverage.
- Subpart C—Home Health Services Under SMI
- § 410.80 Applicable rules.
- Subpart D—Comprehensive Outpatient Rehabilitation Facility (CORF) Services
- § 410.100 Included services.
- § 410.102 Excluded services.
- § 410.105 Requirements for coverage of CORF services.
- Subpart E—Community Mental Health Centers (CMHCs) Providing Partial Hospitalization Services and Intensive Outpatient Services
- § 410.110 Requirements for coverage of partial hospitalization services by CMHCs.
- § 410.111 Requirements for coverage of intensive outpatient services in CMHCs.
- Subpart F [Reserved]
- Subpart G—Medical Nutrition Therapy
- § 410.130 Definitions.
- § 410.132 Medical nutrition therapy.
- § 410.134 Provider qualifications.
- 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.
- 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.
- § 410.173 Payment for intensive outpatient services in CMHCs: Conditions.
- § 410.175 Alien absent from the United States.
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