{"data":{"id":"us/42-cfr-410.58","jurisdiction":"us","citation":"42 CFR 410.58","heading":"Additional services to HMO and CMP enrollees.","body":"Services not usually covered under Medicare Part B may be covered as medical and other health services if they are furnished to an enrollee of an HMO or a CMP and the following conditions are met:\n(a) The services are—\n(1) Furnished by a physician assistant or nurse practitioner as defined in § 491.2 of this chapter, or are incident to services furnished by such a practitioner; or\n(2) Furnished by a clinical psychologist as defined in § 417.416 of this chapter to an enrollee of an HMO or CMP that participates in Medicare under a risk-sharing contract, or are incident to those services.\n(b) The services are services that would be covered under Medicare Part B if they were furnished by a physician or as incident to a physician's professional services.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS","Subpart B—Medical and Other Health Services"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"9184b618e83eeaf0a8d76e0abb306163f6a1fd255a39335f51f806a0a0a28351","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-410.57","next":"us/42-cfr-410.59"},"notice":"GroundRules: Original legal text. Not legal advice."}