42 CFR 512.345
§ 512.345 Payments subject to the Clinician HDPA.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 512.345, § 512.345 Payments subject to the Clinician HDPA, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/208195
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Full text
CMS adjusts the amount otherwise paid under Medicare Part B with respect to MCP claims on claim lines with CPT codes 90965 and 90966 by the Clinician HDPA when the claim is submitted by a Managing Clinician who is an ETC Participant with a claim service date during a calendar year subject to adjustment as described in § 512.350 and the beneficiary is at least 18 years old before the first day of the month.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.