42 CFR 414.1510
§ 414.1510 Beneficiary qualifications for coverage of services.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 414.1510, § 414.1510 Beneficiary qualifications for coverage of services, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204041
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Full text
To qualify for Medicare coverage of home infusion therapy services, a beneficiary must meet each of the following requirements:
(a) Under the care of an applicable provider. The beneficiary must be under the care of an applicable provider, as defined in section 1861(iii)(3)(A) of the Act as a physician, nurse practitioner, or physician assistant.
(b) Under a physician plan of care. The beneficiary must be under a plan of care that meets the requirements for plans of care specified in § 414.1515.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.