Title 42--Public Health

CHAPTER IV--HEALTH CARE FINANCING ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS


TEXT PDF410.1 Basis and scope.
TEXT PDF410.2 Definitions.
TEXT PDF410.3 Scope of benefits.
TEXT PDF410.5 Other applicable rules.
TEXT PDF410.10 Medical and other health services: Included services.
TEXT PDF410.12 Medical and other health services: Basic conditions and limitations.
TEXT PDF410.14 Special requirements for services furnished outside the United States.
TEXT PDF410.20 Physicians' services.
TEXT PDF410.22 Limitations on services of a chiropractor.
TEXT PDF410.23 Limitations on services of an optometrist.
TEXT PDF410.24 Limitations on services of a doctor of dental surgery or dental medicine.
TEXT PDF410.25 Limitations on services of a podiatrist.
TEXT PDF410.26 Services and supplies incident to a physician's professional services: Conditions.
TEXT PDF410.27 Outpatient hospital services and supplies incident to physicians' services: Conditions.
TEXT PDF410.28 Hospital or CAH diagnostic services furnished to outpatients: Conditions.
TEXT PDF410.29 Limitations on drugs and biologicals.
TEXT PDF410.30 Prescription drugs used in immunosuppressive therapy.
TEXT PDF410.31 Bone mass measurement: Conditions for coverage and frequency standards.
TEXT PDF410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions.
TEXT PDF410.33 Independent diagnostic testing facility.
TEXT PDF410.34 Mammography services: Conditions for and limitations on coverage.
TEXT PDF410.35 X-ray therapy and other radiation therapy services: Scope.
TEXT PDF410.36 Medical supplies, appliances, and devices: Scope.
TEXT PDF410.37 Colorectal cancer screening tests: Conditions for and limitations on coverage.
TEXT PDF410.38 Durable medical equipment: Scope and conditions.
TEXT PDF410.40 Coverage of ambulance services.
TEXT PDF410.41 Requirements for ambulance suppliers.
TEXT PDF410.43 Partial hospitalization services: Conditions and exclusions.
TEXT PDF410.45 Rural health clinic services: Scope and conditions.
TEXT PDF410.50 Institutional dialysis services and supplies: Scope and conditions.
TEXT PDF410.52 Home dialysis services, supplies, and equipment: Scope and conditions.
TEXT PDF410.55 Services related to kidney donations: Conditions.
TEXT PDF410.56 Screening pelvic examinations.
TEXT PDF410.57 Pneumococcal vaccine and flu vaccine.
TEXT PDF410.58 Additional services to HMO and CMP enrollees.
TEXT PDF410.59 Outpatient occupational therapy services: Conditions.
TEXT PDF410.60 Outpatient physical therapy services: Conditions.
TEXT PDF410.61 Plan of treatment requirements for outpatient rehabilitation services.
TEXT PDF410.62 Outpatient speech-language pathology services: Conditions and exclusions.
TEXT PDF410.63 Hepatitis B vaccine and blood clotting factors: Conditions.
TEXT PDF410.64 Services related to cardiac pacemakers and pacemaker leads.
TEXT PDF410.66 Emergency outpatient services furnished by a nonparticipating hospital and services furnished in Mexico or Canada.
TEXT PDF410.68 Antigens: Scope and conditions.
TEXT PDF410.69 Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic rule and definitions.
TEXT PDF410.71 Clinical psychologist services and services and supplies incident to clinical psychologist services.
TEXT PDF410.73 Clinical social worker services.
TEXT PDF410.74 Physician assistants' services.
TEXT PDF410.75 Nurse practitioners' services.
TEXT PDF410.76 Clinical nurse specialists' services.
TEXT PDF410.77 Certified nurse-midwives' services: Qualifications and conditions.
TEXT PDF410.78 Consultations via telecommunications systems.
TEXT PDF410.80 Applicable rules.
TEXT PDF410.100 Included services.
TEXT PDF410.102 Excluded services.
TEXT PDF410.105 Requirements for coverage of CORF services.
TEXT PDF410.110 Requirements for coverage of partial hospitalization services by CMHCs.
TEXT PDF410.150 To whom payment is made.
TEXT PDF410.152 Amounts of payment.
TEXT PDF410.155 Outpatient mental health treatment limitation.
TEXT PDF410.160 Part B annual deductible.
TEXT PDF410.161 Part B blood deductible.
TEXT PDF410.163 Payment for services furnished to kidney donors.
TEXT PDF410.165 Payment for rural health clinic services and ambulatory surgical center services: Conditions.
TEXT PDF410.170 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.
TEXT PDF410.172 Payment for partial hospitalization services in CMHCs: Conditions.
TEXT PDF410.175 Alien absent from the United States.





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