[Code of Federal Regulations]
[Title 42, Volume 2]
[Revised as of October 1, 2002]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR419.21]

[Page 794-795]
 
                         TITLE 42--PUBLIC HEALTH
 
                             HUMAN SERVICES
 
PART 419--PROSPECTIVE PAYMENT SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES--Table of Contents
 
Subpart B--Categories of Hospitals and Services Subject to and Excluded 
         From the Hospital Outpatient Prospective Payment System
 
Sec. 419.21  Hospital outpatient services subject to the outpatient prospective payment system.

    Except for services described in Sec. 419.22, effective for services 
furnished on or after July 1, 2000, payment is made under the hospital 
outpatient prospective payment system for the following:
    (a) Medicare Part B services furnished to hospital outpatients 
designated by the Secretary under this part.
    (b) Services designated by the Secretary that are covered under 
Medicare Part B when furnished to hospital inpatients who are either not 
entitled to benefits under Part A or who have exhausted their Part A 
benefits but are entitled to benefits under Part B of the program.
    (c) Partial hospitalization services furnished by community mental 
health centers (CMHCs).
    (d) The following medical and other health services furnished by a 
comprehensive outpatient rehabilitation facility (CORF) when they are 
provided outside the patient's plan (of care); or by a home health 
agency (HHA) to patients who are not under an HHA plan or treatment; or 
by a hospice program

[[Page 795]]

furnishing services to patients outside the hospice benefit:
    (1) Antigens.
    (2) Splints and casts.
    (3) Pneumococcal vaccine, influenza vaccine, and hepatitis B 
vaccine.