US · guidance
CMS Pub. 100-02, ch. 7, § 80.1
Drugs and Biologicals
A3-3125.A, HHA-230.A
Drugs and biologicals are excluded from payment under the Medicare home health
benefit.
A drug is any chemical compound that may be used on or administered to humans or
animals as an aid in the diagnosis, treatment, prevention of disease or other condition, for
the relief of pain or suffering, or to control or improve any physiological pathologic
condition.
A biological is any medicinal preparation made from living organisms and their products
including, but not limited to, serums, vaccines, antigens, and antitoxins. The one drug
exception is the osteoporosis drug, which is part of the home health benefit, and home
health agencies may provide services such as vaccines outside the home health benefit.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
4ea05880aae48095952be41349e8fe0b780bd0af3eaca3a009c987ea25c3dd67
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