---
kind: "section"
citation: "42 C.F.R. § 460.96"
title: "42"
number: "460.96"
heading: "Excluded services."
url: "https://uscodex.org/cfr/42/460.96"
---

# §460.96. Excluded services.


The following services are excluded from coverage under PACE:

- (a) 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.
- (b) **Experimental medical, surgical, or other health procedures.**
- (c) **Services furnished outside of the United States, except as follows—**
  - (1) In accordance with [§ 424.122](/cfr/42/424.122.md) and [§ 424.124](/cfr/42/424.124.md) of this chapter.
  - (2) **As permitted under the State's approved Medicaid plan.**

## Notes

### 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]