US · guidance
CMS Pub. 100-04, ch. 19, § 100.13.2
A/B MAC (A) - MNT - Payment Policy
Section 105 of BIPA permits Medicare coverage of MNT when furnished by a RD
meeting certain requirements. See Chapter 4, §§300 through 300.6 of Pub. 100-04,
Medicare Claims Processing Manual, for more information on these requirements.
If the RD providing the services is either an IHS hospital employee or has contracted
with an IHS hospital to provide MNT services through the hospital outpatient
department, the MNT services are to be provided in the hospital outpatient department or
in a provider-based clinic. Payment is made by the A/B MAC (A) based upon the AIR.
Since hospital outpatient MNT services provided by an RD are provided on hospital
property under the auspices of the hospital, MNT services provided in the home do not fit
the benefit as it is generally rendered when billing to the A/B MAC (A). The RD
employed by an IHS hospital may not be paid for services provided in the beneficiary’s
home.
History
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
666e18d3a32508cbf72ad0a9f8d2c13cf345d1314c156dec6dce5cbd46a13052
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.