---
kind: "section"
citation: "42 C.F.R. § 405.2446"
title: "42"
number: "405.2446"
heading: "Scope of services."
url: "https://uscodex.org/cfr/42/405.2446"
---

# §405.2446. Scope of services.

- (a) For purposes of this section, the terms rural health clinic and RHC when they appear in the cross references in [paragraph (b)](#b) of this section also mean Federally qualified health centers and FQHCs.
- (b) **FQHC services that are paid for under this subpart are outpatient services that include the following—**
  - (1) Physician services specified in [§ 405.2412](/cfr/42/405.2412.md).
  - (2) Services and supplies furnished as incident to a physician's professional service, as specified in [§ 405.2413](/cfr/42/405.2413.md).
  - (3) Nurse practitioner, physician assistant or certified nurse midwife services as specified in [§ 405.2414](/cfr/42/405.2414.md).
  - (4) Services and supplies furnished as incident to a nurse practitioner, physician assistant, or certified nurse midwife service, as specified in [§ 405.2415](/cfr/42/405.2415.md).
  - (5) Clinical psychologist, clinical social worker, marriage and family therapist, and mental health counselor services specified in [§ 405.2450](/cfr/42/405.2450.md).
  - (6) Services and supplies furnished as incident to the services of a clinical psychologist, clinical social worker, marriage and family therapist, or mental health counselor, as specified in [§ 405.2452](/cfr/42/405.2452.md).
  - (7) Visiting nurse services specified in [§ 405.2416](/cfr/42/405.2416.md).
  - (8) Preventive primary services specified in [§ 405.2448](/cfr/42/405.2448.md) of this subpart.
  - (9) Medical nutrition therapy services as specified in [part 410](/cfr/42/part410.md), [subpart G](/cfr/42/subpartG.md) of this chapter, and diabetes outpatient self-management training services as specified in [part 410](/cfr/42/part410.md), [subpart H](/cfr/42/subpartH.md) of this chapter.
  - (10) Intensive outpatient services when provided in accordance with section 1861(ff)(4) of the Act and [§ 410.44](/cfr/42/410.44.md) of this chapter.
- (c) FQHC services are covered when provided in outpatient settings only, including a patient's place of residence, which may be a skilled nursing facility or a nursing facility, other institution used as a patient's home, or are hospice attending physician services furnished during a hospice election.
- (d) **FQHC services are not covered in a hospital, as defined in section 1861(e)(1) of the Act.**

## Notes

### Amendments

[57 FR 24979, June 12, 1992, as amended at 61 FR 14657, Apr. 3, 1996; 71 FR 69782, Dec. 1, 2006; 79 FR 25476, May 2, 2014; 86 FR 65660, Nov. 19, 2021; 88 FR 79524, Nov. 16, 2023; 88 FR 82176, Nov. 22, 2023]

### Source

Source: 57 FR 24978, June 12, 1992, unless otherwise noted.

### Authority

Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).

### Source

Source: 43 FR 8261, Mar. 1, 1978, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 263a, 405(a), 1302, 1320b-12, 1395x, 1395y(a), 1395ff, 1395hh, 1395kk, 1395rr, and 1395ww(k).

### Amendments

[57 FR 24979, June 12, 1992, as amended at 61 FR 14657, Apr. 3, 1996; 71 FR 69782, Dec. 1, 2006; 79 FR 25476, May 2, 2014; 86 FR 65660, Nov. 19, 2021; 88 FR 79524, Nov. 16, 2023; 88 FR 82176, Nov. 22, 2023]