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Subpart A — General Exclusions and Exclusion of Particular Services

Payment under Medicare Part B, for home health services, for medical and other health services, or for CORF services, may be made to the provider or facility only if the following conditions are met: (a) Request for payment. A written request for payment is filed by or on behalf of the individual to whom the services were furnished. (b) Physician certification. (1) For home health services, a physician provides certification and recertification in accordance with § 424.22 of this chapter. (2) For medical and other health services, a physician provides certification and recertification in accordance with § 424.24 of this chapter. (3) For CORF services, a physician provides certification and recertification in accordance with § 424.27 of this chapter. (c) In the case of home dialysis support services described in § 410.52, the services are furnished in accordance with a written plan prepared and periodically reviewed by a team that includes the patient’s physician and other professionals familiar with the patient’s condition as required by § 494.90 of this chapter.