---
kind: "section"
citation: "42 C.F.R. § 405.500"
title: "42"
number: "405.500"
heading: "Basis."
url: "https://uscodex.org/cfr/42/405.500"
---

# §405.500. Basis.


[Subpart E](/cfr/42/subpartE.md) is based on the provisions of the following sections of the Act: [Section 1814(b)](/cfr/42/1814.md?p=b) provides for Part A payment on the basis of the lesser of a provider's reasonable costs or customary charges. [Section 1832](/cfr/42/1832.md) establishes the scope of benefits provided under the Part B supplementary medical insurance program. [Section 1833(a)](/cfr/42/1833.md?p=a) sets forth the amounts of payment for supplementary medical insurance services on the basis of the lesser of a provider's reasonable costs or customary charges. [Section 1834(a)](/cfr/42/1834.md?p=a) specifies how payments are made for the purchase or rental of new and used durable medical equipment for Medicare beneficiaries. [Section 1834(b)](/cfr/42/1834.md?p=b) provides for payment for radiologist services on a fee schedule basis. [Section 1834(c)](/cfr/42/1834.md?p=c) provides for payments and standards for screening mammography. [Section 1842(b)](/cfr/42/1842.md?p=b) sets forth the provisions for a carrier to enter into a contract with the Secretary and to make determinations with respect to Part B claims. [Section 1842(h)](/cfr/42/1842.md?p=h) sets forth the requirements for a physician or supplier to voluntarily enter into an agreement with the Secretary to become a participating physician or supplier. [Section 1842(i)](/cfr/42/1842.md?p=i) sets forth the provisions for the payment of Part B claims. [Section 1848](/cfr/42/1848.md) establishes a fee schedule for payment of physician services. [Section 1861(b)](/cfr/42/1861.md?p=b) sets forth the inpatient hospital services covered by the Medicare program. [Section 1861(s)](/cfr/42/1861.md?p=s) sets forth medical and other health services covered by the Medicare program. [Section 1861(v)](/cfr/42/1861.md?p=v) sets forth the general authority under which CMS may establish limits on provider costs recognized as reasonable in determining Medicare program payments. [Section 1861(aa)](/cfr/42/1861.md?p=aa) sets forth the rural health clinic services and Federally qualified health center services covered by the Medicare program. [Section 1861(jj)](/cfr/42/1861.md?p=jj) defines the term “covered osteoporosis drug.” [Section 1862(a)(14)](/cfr/42/1862.md?p=a-14) lists services that are excluded from coverage. [Section 1866(a)](/cfr/42/1866.md?p=a) specifies the terms for provider agreements. [Section 1881](/cfr/42/1881.md) authorizes special rules for the coverage of and payment for services furnished to patients with end-stage renal disease. [Section 1886](/cfr/42/1886.md) sets forth the requirements for payment to hospitals for inpatient hospital services. [Section 1887](/cfr/42/1887.md) sets forth requirements for payment of provider-based physicians and payment under certain percentage arrangements. [Section 1889](/cfr/42/1889.md) provides for Medicare and Medigap information by telephone.


## Notes

### Amendments

[60 FR 63175, Dec. 8, 1995]

### Authority

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

### Source

Source: 32 FR 12599, Aug. 31, 1967, unless otherwise noted. Redesignated at 42 FR 52826, Sept. 30, 1977.

### Authority

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

### Amendments

[60 FR 63175, Dec. 8, 1995]