§460.96. Excluded services.
42 C.F.R. § 460.96
The following services are excluded from coverage under PACE:
Cosmetic surgery, which does not include surgery that is required for improved functioning of a malformed part of the body resulting from an accidental injury or for reconstruction following mastectomy.
Experimental medical, surgical, or other health procedures.
Services furnished outside of the United States, except as follows—
As permitted under the State's approved Medicaid plan.
Notes, amendments, and revision history
Amendments
[64 FR 66279, Nov. 24, 1999, as amended at 71 FR 71335, Dec. 8, 2006; 86 FR 6132, Jan. 19, 2021]
Authority
Authority: 42 U.S.C. 1302, 1395, 1395eee(f), and 1396u-4(f).
Source
Source: 64 FR 66279, Nov. 24, 1999, unless otherwise noted.
Amendments
[64 FR 66279, Nov. 24, 1999, as amended at 71 FR 71335, Dec. 8, 2006; 86 FR 6132, Jan. 19, 2021]