§410.58. Additional services to HMO and CMP enrollees.
42 C.F.R. § 410.58
Services not usually covered under Medicare Part B may be covered as medical and other health services if they are furnished to an enrollee of an HMO or a CMP and the following conditions are met:
The services are—
Furnished by a physician assistant or nurse practitioner as defined in § 491.2 of this chapter, or are incident to services furnished by such a practitioner; or
Furnished by a clinical psychologist as defined in § 417.416 of this chapter to an enrollee of an HMO or CMP that participates in Medicare under a risk-sharing contract, or are incident to those services.
The services are services that would be covered under Medicare Part B if they were furnished by a physician or as incident to a physician's professional services.
Notes, amendments, and revision history
Authority
Authority: 42 U.S.C. 1302, 1395m, 1395hh, 1395rr, and 1395ddd.
Source
Source: 51 FR 41339, Nov. 14, 1986, unless otherwise noted.