GroundRules
42 CFR 410.165: Payment for rural health clinic services and ambulatory surgical center services: Conditions.
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 I—Payment of SMI Benefits
(a) Medicare Part B pays for covered rural health clinic and Federally qualified health center services if—
(1) The services are furnished in accordance with the requirements of subpart X of part 405 of this chapter and subpart A of part 491 of this chapter; and
(2) The clinic or center files a written request for payment on the form and in the manner prescribed by CMS.
(b) Medicare Part B pays for covered ambulatory surgical center (ASC) services if—
(1) The services are furnished in accordance with the requirements of part 416 of this chapter; and
(2) The ASC files a written request for payment on the form and in the manner prescribed by CMS.
Collected 2026-08-27T02:26:11Z. Source file · JSON