CMS Pub. 100-04, ch. 19, § 100.1

Fee Schedules

(Rev. 2075, Issued: 10-28-10, Effective: 01-01-10, Implementation: 01-28-11)

The legislative change in MMA §630 of 2003, which was effective January 1, 2005, and

indefinitely extended by §2902 of the ACA, allows IHS providers to bill for other

Medicare Part B services, not covered under §1848 of the Act. In an effort to clarify that

these charges are not included in the AIR (which is the general method of payment) and

to allow these facilities to acquire the appropriate certifications, IHS providers, including

CAHs were allowed to begin billing separately for the following Medicare Part B

services:

• Prosthetic and orthotic devices (beginning July 1, 2005);

• Surgical dressings (beginning July 1, 2005);

• Influenza, pneumococcal, and hepatitis B vaccines (beginning January 1, 2006);

and

• Ambulance services (beginning January 1, 2005).

The enactment of BIPA allowed for separate billing of certain services by physicians and

practitioners, including physical therapy, occupational therapy, and speech-language

pathology (including diagnostic audiology services).