§ 409.47 - Place of service requirements.

§ 409.47 Place of service requirements.

Cross Reference

Link to an amendment published at 82 FR 4578, Jan. 13, 2017.

Cross Reference

This amendment was delayed until Jan. 13, 2018 at 82 FR 31729, July 10, 2017.

To be covered, home health services must be furnished in either the beneficiary's home or an outpatient setting as defined in this section.

(a) Beneficiary's home. A beneficiary's home is any place in which a beneficiary resides that is not a hospital, SNF, or nursing facility as defined in sections 1861(e)(1), 1819(a)(1), of 1919(a)(1) of the Act, respectively.

(b) Outpatient setting. For purposes of coverage of home health services, an outpatient setting may include a hospital, SNF or a rehabilitation center with which the HHA has an arrangement in accordance with the requirements of § 484.14105(he) of this chapter and that is used by the HHA to provide services that either -

(1) Require equipment that cannot be made available at the beneficiary's home; or

(2) Are furnished while the beneficiary is at the facility to receive services requiring equipment described in paragraph (b)(1) of this section.

[59 FR 65496, Dec. 20, 1994, as amended at 82 FR 4578, Jan. 13, 2017]