US · guidance
CMS Pub. 100-04, ch. 32, § 411.1
Policy
Effective beginning on January 1, 2021, the Medicare home infusion therapy benefit covers the professional services,
including nursing services, furnished in accordance with the plan of care, patient training and education (not otherwise
covered under the durable medical equipment benefit), remote monitoring, and monitoring services for the provision of
home infusion therapy and home infusion drugs furnished by a qualified home infusion therapy supplier. Home infusion
therapy means the items and services furnished by a qualified home infusion therapy supplier, which are furnished in the
individual’s home. Payment is for an “infusion drug administration calendar day,” which means the day on which home
infusion therapy services are furnished by skilled professionals in the individual’s home on the day of infusion drug
administration. The skilled services provided on such day must be so inherently complex that they can only be safely and
effectively performed by, or under the supervision of, professional or technical personnel.
History
(Rev. 10269, Issued: 08-07-2020, Effective: 01-01-2021, Implementation: 01-04-2021)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
22c94d58df3df9baacaa11e722366ad4f1443a7917cef5599819f51fb112ace3
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