GroundRules
42 CFR 410.111: Requirements for coverage of intensive outpatient services in CMHCs.
Where this section sits in the code
- 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 E—Community Mental Health Centers (CMHCs) Providing Partial Hospitalization Services and Intensive Outpatient Services
Medicare part B covers intensive outpatient services furnished by or under arrangements made by a CMHC if they are provided by a CMHC as defined in § 410.2 that has in effect a provider agreement under part 489 of this chapter and if the services are—
(a) Prescribed by a physician and furnished under the general supervision of a physician;
(b) Subject to certification by a physician in accordance with § 424.24(d)(1) of this chapter; and
(c) Furnished under a plan of treatment that meets the requirements of § 424.24(d)(2) of this chapter.
Collected 2026-08-27T02:26:11Z. Source file · JSON