Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 190.2
Requirements for Furnishing Visiting Nursing Service
190.2 - Requirements for Furnishing Visiting Nursing Service
(Rev. 252, Issued: 12- 07-18, Effective: 01-01-19, Implementation: 01- 02-19)
RHCs and FQHCs are paid for visiting nursing services when G0490 is on an RHC or
FQHC claim and all of the following requirements are met:
• The patient is considered confined to the home as defined in section 1835(a) of
the Act and the Medicare Benefit Policy Manual, Chapter 7 (see
http://www.cms.gov/Regulations-and-
Guidance/Guidance/Manuals/downloads/bp102c07.pdf;
• The RHC or FQHC is located in an area that has a shortage of home health
agencies;
• The services and supplies are provided under a written plan of treatment;
• Nursing services are furnished on a part-time or intermittent basis only; and
• Drugs and biological products are not provided.