Part 410 — Supplementary Medical Insurance (SMI) Benefits
Subpart A — General Provisions
Subpart B — Medical and Other Health Services
- § 410.10— Medical and other health services: Included services.
- § 410.12— Medical and other health services: Basic conditions and limitations.
- § 410.14— Special requirements for services furnished outside the United States.
- § 410.15— Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and limitations on coverage.
- § 410.16— Initial preventive physical examination: Conditions for and limitations on coverage.
- § 410.17— Cardiovascular disease screening tests.
- § 410.18— Diabetes screening tests.
- § 410.19— Ultrasound screening for abdominal aortic aneurysms: Condition for and limitation on coverage.
- § 410.20— Physicians' services.
- § 410.21— Limitations on services of a chiropractor.
- § 410.22— Limitations on services of an optometrist.
- § 410.23— Screening for glaucoma: Conditions for and limitations on coverage.
- § 410.24— Limitations on services of a doctor of dental surgery or dental medicine.
- § 410.25— Limitations on services of a podiatrist.
- § 410.26— Services and supplies incident to a physician's professional services: Conditions.
- § 410.27— Therapeutic outpatient hospital or CAH services and supplies incident to a physician's or nonphysician practitioner's service: Conditions.
- § 410.28— Hospital or CAH diagnostic services furnished to outpatients: Conditions.
- § 410.29— Limitations on drugs and biologicals.
- § 410.30— Prescription drugs used in immunosuppressive therapy.
- § 410.31— Bone mass measurement: Conditions for coverage and frequency standards.
- § 410.32— Diagnostic x-ray tests, diagnostic laboratory tests, and other diagnostic tests: Conditions.
- § 410.33— Independent diagnostic testing facility.
- § 410.34— Mammography services: Conditions for and limitations on coverage.
- § 410.35— X-ray therapy and other radiation therapy services: Scope.
- § 410.36— Medical supplies, appliances, and devices: Scope.
- § 410.37— Colorectal cancer screening tests: Conditions for and limitations on coverage.
- § 410.38— Durable medical equipment, prosthetics, orthotics and supplies (DMEPOS): Scope and conditions.
- § 410.39— Prostate cancer screening tests: Conditions for and limitations on coverage.
- § 410.40— Coverage of ambulance services.
- § 410.41— Requirements for ambulance providers and suppliers.
- § 410.42— Limitations on coverage of certain services furnished to hospital outpatients.
- § 410.43— Partial hospitalization services: Conditions and exclusions.
- § 410.44— Intensive outpatient services: Conditions and exclusions.
- § 410.45— Rural health clinic services: Scope and conditions.
- § 410.46— Physician and other practitioner services furnished in or at the direction of an IHS or Indian tribal hospital or clinic: Scope and conditions.
- § 410.47— Pulmonary rehabilitation program: Conditions for coverage.
- § 410.48— Kidney disease education services.
- § 410.49— Cardiac rehabilitation program and intensive cardiac rehabilitation program: Conditions of coverage.
- § 410.50— Institutional dialysis services and supplies: Scope and conditions.
- § 410.52— Home dialysis services, supplies, and equipment: Scope and conditions.
- § 410.53— Marriage and family therapist services.
- § 410.54— Mental health counselor services.
- § 410.55— Services related to kidney donations: Conditions.
- § 410.56— Screening pelvic examinations.
- § 410.57— Preventive vaccines.
- § 410.58— Additional services to HMO and CMP enrollees.
- § 410.59— Outpatient occupational therapy services: Conditions.
- § 410.60— Outpatient physical therapy services: Conditions.
- § 410.61— Plan of treatment requirements for outpatient rehabilitation services.
- § 410.62— Outpatient speech-language pathology services: Conditions and exclusions.
- § 410.63— Hepatitis B vaccine and blood clotting factors: Conditions.
- § 410.64— Additional preventive services.
- § 410.66— Emergency outpatient services furnished by a nonparticipating hospital and services furnished in a foreign country.
- § 410.67— Medicare coverage and payment of Opioid use disorder treatment services furnished by Opioid treatment programs.
- § 410.68— Antigens: Scope and conditions.
- § 410.69— Services of a certified registered nurse anesthetist or an anesthesiologist's assistant: Basic rule and definitions.
- § 410.71— Clinical psychologist services and services and supplies incident to clinical psychologist services.
- § 410.72— Registered dietitians' and nutrition professionals' services.
- § 410.73— Clinical social worker services.
- § 410.74— Physician assistants' services.
- § 410.75— Nurse practitioners' services.
- § 410.76— Clinical nurse specialists' services.
- § 410.77— Certified nurse-midwives' services: Qualifications and conditions.
- § 410.78— Telehealth services.
- § 410.79— Medicare Diabetes Prevention Program expanded model: Conditions of coverage.
Subpart C — Home Health Services Under SMI
Subpart D — Comprehensive Outpatient Rehabilitation Facility (CORF) Services
Subpart E — Community Mental Health Centers (CMHCs) Providing Partial Hospitalization Services and Intensive Outpatient Services
Subpart G — Medical Nutrition Therapy
Subpart H — Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements
- § 410.140— Definitions.
- § 410.141— Outpatient diabetes self-management training.
- § 410.142— CMS process for approving national accreditation organizations.
- § 410.143— Requirements for approved accreditation organizations.
- § 410.144— Quality standards for deemed entities.
- § 410.145— Requirements for entities.
- § 410.146— Diabetes outcome measurements.
Subpart I — Payment of SMI Benefits
- § 410.150— To whom payment is made.
- § 410.152— Amounts of payment.
- § 410.155— Outpatient mental health treatment limitation.
- § 410.160— Part B annual deductible.
- § 410.161— Part B blood deductible.
- § 410.163— Payment for services furnished to kidney donors.
- § 410.165— Payment for rural health clinic services and ambulatory surgical center services: Conditions.
- § 410.170— 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.
- § 410.172— Payment for partial hospitalization services in CMHCs: Conditions.
- § 410.173— Payment for intensive outpatient services in CMHCs: Conditions.
- § 410.175— Alien absent from the United States.