[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR441.17]



[Page 271]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 441_SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC 

 

                      Subpart A_General Provisions

 

Sec.  441.17  Laboratory services.



    (a) The plan must provide for payment of laboratory services as 

defined in Sec.  440.30 of this subchapter if provided by--

    (1) An independent laboratory that meets the requirements for 

participation in the Medicare program found in Sec.  405.1316 of this 

chapter;

    (2) A hospital-based laboratory that meets the requirements for 

participation in the Medicare program found in Sec.  482.27 of this 

chapter;

    (3) A rural health clinic, as defined in Sec.  491.9 of this 

chapter; or

    (4) A skilled nursing facility--based clinical laboratory, as 

defined in Sec.  405.1128(a) of this chapter.

    (b) Except as provided under paragraph (c), if a laboratory or other 

entity is requesting payment under Medicaid for testing for the presence 

of the human immunodeficiency virus (HIV) antibody or for the isolation 

and identification of the HIV causative agent as described in Sec.  

405.1316(f) (2) and (3) of this chapter, the laboratory records must 

contain the name and other identification of the person from whom the 

specimen was taken.

    (c) An agency may choose to approve the use of alternative 

identifiers, in place of the requirement for patient's name, in 

paragraph (b) of this section for HIV antibody or causative agent 

testing of Medicaid recipients.



[54 FR 48647, Dec. 2, 1988. Redesignated at 63 FR 310, Jan. 5, 1998.]



[[Page 272]]