---
kind: "section"
citation: "42 C.F.R. § 415.184"
title: "42"
number: "415.184"
heading: "Psychiatric services."
url: "https://uscodex.org/cfr/42/415.184"
---

# §415.184. Psychiatric services.

- (a) Physician fee schedule payment is made for psychiatric services furnished under an approved GME program if the requirements of §§ [415.170](/cfr/42/415.170.md) and [415.172](/cfr/42/415.172.md) are met, including documentation, except that the requirement for the presence of the teaching physician during the service in which a resident is involved may be met by observation of the service by use of a one-way mirror, video equipment, or similar device.
- (b) In residency training sites that are located outside of a metropolitan statistical area, the requirement for the presence of the teaching physician during the service in which a resident is involved may be met through audio/video real-time communications technology. The medical records must document the extent of the teaching physician's participation in the service.
- (c) For all teaching settings during the Public Health Emergency, as defined in [§ 400.200](/cfr/42/400.200.md) of this chapter, for the COVID-19 pandemic, the requirement for the presence of the teaching physician during the service in which a resident is involved may also be met through audio/video real-time communications technology. The medical records must document the extent of the teaching physician's participation in the service.

## Notes

### Amendments

[85 FR 85037, Dec. 28, 2020]

### Authority

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

### Source

Source: 60 FR 63178, Dec. 8, 1995, unless otherwise noted.

### Amendments

[85 FR 85037, Dec. 28, 2020]