US · guidance
CMS Pub. 100-02, ch. 15, § 320.4
Patient Eligibility for Home Infusion Therapy
To be eligible to receive home infusion therapy services under the home infusion therapy
benefit, a beneficiary must have Medicare Part B and meet each of the following
requirements:
A. The beneficiary must be under the care of an applicable provider, as defined in
section 1861(iii)(3)(A) of the Act as a physician, nurse practitioner, or physician
assistant.
B. The beneficiary must be under a physician-established plan of care that meets the
requirements specified in 42 CFR 414.1515 and 42 CFR 486.520, as described in
section 320.5 of this chapter.
Home infusion services must be furnished in the patient’s home, which means the place
of residence as defined for purposes of section 1861(n) of the Act used as the home of an
individual, including an institution that is used as a home (excluding hospitals, critical
access hospitals, and skilled nursing facilities as defined in section 1819(a)(1) of the Act).
History
(Rev. 10547, Issued: 12-31-20, Effective: 01-01-21, Implementation: 01-04-21)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
1e67ad3ac3c221c88bafb4240611598ca26a70f445d6e063f9659975bba09fb2
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