---
kind: "section"
citation: "42 C.F.R. § 412.50"
title: "42"
number: "412.50"
heading: "Furnishing of inpatient hospital services directly or under arrangements."
url: "https://uscodex.org/cfr/42/412.50"
---

# §412.50. Furnishing of inpatient hospital services directly or under arrangements.

- (a) The applicable payments made under the prospective payment systems, as described in subparts [H](/cfr/42/subpartH.md) and [M](/cfr/42/subpartM.md) of this part, are payment in full for all inpatient hospital services, as defined in [§ 409.10](/cfr/42/409.10.md) of this chapter. Inpatient hospital services do not include the following types of services:
  - (1) Physician services that meet the requirements of [§ 415.102(a)](/cfr/42/415.102.md?p=a) of this chapter for payment on a fee schedule basis.
  - (2) **Physician assistant services, as defined in section 1861(s)(2)(K)(i) of the Act.**
  - (3) Nurse practitioner and clinical nurse specialist services, as defined in [section 1861(s)(2)(K)(ii)](/cfr/42/1861.md?p=s-2-K-ii) of the Act.
  - (4) **Certified nurse mid-wife services, as defined in section 1861(gg) of the Act.**
  - (5) **Qualified psychologist services, as defined in section 1861(ii) of the Act.**
  - (6) Services of an anesthetist, as defined in [§ 410.69](/cfr/42/410.69.md) of this chapter.
- (b) CMS does not pay any provider or supplier other than the hospital for services furnished to a beneficiary who is an inpatient, except for the services described in [paragraphs (a)(1) through (a)(6)](#a-1..a-6) of this section.
- (c) The hospital must furnish all necessary covered services to the beneficiary either directly or under arrangements (as defined in [§ 409.3](/cfr/42/409.3.md) of this chapter).

## Notes

### Amendments

[50 FR 12741, Mar. 29, 1985, as amended at 53 FR 38527, Sept. 30, 1988; 57 FR 39821, Sept. 1, 1992; 60 FR 63188, Dec. 8, 1995; 65 FR 18537, Apr. 7, 2000]

### Authority

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

### Source

Source: 50 FR 12741, Mar. 29, 1985, unless otherwise noted.

### Amendments

[50 FR 12741, Mar. 29, 1985, as amended at 53 FR 38527, Sept. 30, 1988; 57 FR 39821, Sept. 1, 1992; 60 FR 63188, Dec. 8, 1995; 65 FR 18537, Apr. 7, 2000]