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42 C.F.R. PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

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

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.

�410.16

Initial preventive physical examination: Conditions for and limitations on coverage.

�410.17

Cardiovascular disease screening tests.

�410.18

Diabetes screening tests.

�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

Outpatient hospital services and supplies incident to a physician 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.

�410.50

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.

�410.66

Emergency outpatient services furnished by a nonparticipating hospital and services furnished in Mexico or Canada.

�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.

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

�410.110

Requirements for coverage of partial hospitalization services by 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.

�410.175

Alien absent from the United States.