Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 160
Services and Supplies Incident to CP, CSW, MFT and MHC
160 - Services and Supplies Incident to CP, CSW, MFT and MHC
Services
(Rev. 13600; Issued: 02-20-26; Effective: 01-01-26; Implementation:03-23-26)
Services and supplies that are integral, though incident to a CP, CSW, MFT or MHC
service are:
•
Commonly rendered without charge or included in the RHC or FQHC
payment;
•
Commonly furnished in an outpatient clinic setting;
•
Furnished under the direct supervision of the CP, CSW, MFT and MHC
except for authorized care management services which may be furnished
under general supervision; and
•
Furnished by a member of the RHC or FQHC staff.
NOTE: The direct supervision requirement is met in the case of a CP, CSW, MFT
or MHC who supervises the furnishing of the service only if such a person is
permitted to exercise such supervision under the written policies governing the RHC
or FQHC. Services and supplies covered under this provision are generally the
same as described in section 120 as incident to a physician’s services and include
services and supplies incident to the services of a CP, CSW, MFT or MHC.
For services provided under direct supervision, the requirement that the supervising
physician or practitioner must be immediately available to provide assistance and
direction throughout the procedure may be satisfied through virtual presence using
real-time, interactive audio and video telecommunications.