42 C.F.R. § 410.111

Requirements for coverage of intensive outpatient services in CMHCs

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Medicare part B covers intensive outpatient services furnished by or under arrangements made by a CMHC if they are provided by a CMHC as defined in § 410.2 that has in effect a provider agreement under part 489 of this chapter and if the services are—

(a) Prescribed by a physician and furnished under the general supervision of a physician;

(b) Subject to certification by a physician in accordance with § 424.24(d)(1) of this chapter; and

(c) Furnished under a plan of treatment that meets the requirements of § 424.24(d)(2) of this chapter.

[88 FR 82179, Nov. 22, 2023]