42 CFR 410.58
§ 410.58 Additional services to HMO and CMP enrollees.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 410.58, § 410.58 Additional services to HMO and CMP enrollees, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/203337
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Full text
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:
(a) The services are—
(1) 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
(2) 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.
(b) 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.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.