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Code of Federal Regulations Title 42. Public Health § 42.410.58 Additional services to HMO and CMP enrollees

Current as of October 02, 2022 | Updated by FindLaw Staff

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:

(a) The services are—

(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

(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.

(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.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.410.58 Additional services to HMO and CMP enrollees - last updated October 02, 2022 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-410-58/

Read this complete Code of Federal Regulations Title 42. Public Health § 42.410.58 Additional services to HMO and CMP enrollees on Westlaw

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