This section includes additional providers if they meet the requirements of Section 1861(p)(4)(A):
- Clinics
- Rehabilitation Agencies
, - Public Health Agencies
Note: Community Mental Health Centers (CMHCs) are recognized as providers solely for partial
hospitalization services.
Suppliers That Must Meet Conditions for Coverage (CFCs) to Participate in Medicare:
Suppliers must comply with specific conditions for coverage (CfCs). Examples include:
- Portable X-ray Services
- Rural Health Clinics (RHCs)
- End Stage Renal Disease (ESRD) Facilities
- Physical Therapists in Independent Practice (PTIPs)
- Occupational Therapists in Independent Practice (OTIPs)
- Ambulatory Surgical Centers (ASCs)
- Organ Procurement Organizations (OPOs)
Suppliers Without Conditions for Coverage or Surveys:
The following entities do not have conditions for coverage or undergo surveys:
- Durable Medical Equipment (DME) Suppliers
- Pharmacies
- Prosthesis Suppliers
- Laboratories that meet CLIA requirements and participate in Medicare are considered suppliers.
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