CMS Pub. 100-02, ch. 15, § 310.2

Medicare Part B covers KDE services provided by a ‘qualified person,’ meaning a:

• physician (as defined in section 30 of this chapter),

• physician assistant, nurse practitioner, or clinical nurse specialist (as defined in

sections 190, 200, and 210 of this chapter),

• hospital, critical access hospital (CAH), skilled nursing facility (SNF),

comprehensive outpatient rehabilitation facility (CORF), home health agency

(HHA), or hospice, if the KDE services are provided in a rural area (using the

actual geographic location core based statistical area (CBSA) to identify facilities

located in rural areas), or

• hospital or CAH that is treated as being rural (was reclassified from urban to rural

status per 42 CFR 412.103).

NOTE: The “incident to” requirements at section 1861(s)(2)(A) of the Social Security

Act (the Act) do not apply to KDE services.

The following providers are not ‘qualified persons’ and are excluded from furnishing

KDE services:

• A hospital, CAH, SNF, CORF, HHA, or hospice located outside of a rural area

(using the actual geographic location CBSA to identify facilities located outside

of a rural area), unless the services are furnished by a hospital or CAH that is

treated as being in a rural area; and

• Renal dialysis facilities.