---
kind: "section"
citation: "42 C.F.R. § 403.766"
title: "42"
number: "403.766"
heading: "Requirements for coverage and payment of RNHCI home services."
url: "https://uscodex.org/cfr/42/403.766"
---

# §403.766. Requirements for coverage and payment of RNHCI home services.

- (a) **Medicare Part A pays for RNHCI home services if the RNHCI provider does the following—**
  - (1) **Submit a notice of intent to CMS to exercise the option of providing home service.**
  - (2) Provide RNHCI services to eligible beneficiaries,
  - (3) Arrange with suppliers to furnish appropriate DME items as required to meet documented eligible beneficiary needs.
  - (4) **Arrange for RNHCI nurse home visits to eligible beneficiaries.**
  - (5) Have a utilization committee that assumes the additional responsibility for the oversight and monitoring of the items and RNHCI nursing services provided under the home benefit.
  - (6) **Meet all applicable requirements set forth in subpart G of this part.**
- (b) **To be an eligible beneficiary to RNHCI home services the beneficiary must—**
  - (1) **Have an effective election in place.**
  - (2) Be confined to the home, as specified in [§ 409.42(a)](/cfr/42/409.42.md?p=a) of this chapter.
  - (3) Have a condition that makes him or her eligible to receive services covered under Medicare home health.
  - (4) **Receive home services and DME items from a RNHCI.**
  - (5) Be responsible for deductible and coinsurance for DME, as specified in [§ 409.50](/cfr/42/409.50.md) of this chapter.

## Notes

### Amendments

[69 FR 66419, Nov. 15, 2004, as amended at 70 FR 16721, Apr. 1, 2005]

### Source

Source: 64 FR 67047, Nov. 30, 1999, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Amendments

[69 FR 66419, Nov. 15, 2004, as amended at 70 FR 16721, Apr. 1, 2005]