CMS Pub. 100-04, ch. 32, § 411.2

Payment for an “infusion drug administration calendar day” is only made if a beneficiary is furnished certain drugs and

biologicals administered through an item of covered DME, and payable only to suppliers enrolled in Medicare as a

“qualified home infusion therapy supplier.” The beneficiary must be under the care of an applicable provider, defined as

a physician, nurse practitioner, or physician’s assistant, and must be under the care of a physician-established plan of

care that prescribes the type, amount, and duration of infusion therapy services. A “qualified home infusion therapy

supplier” is a pharmacy, physician, or other provider of services or supplier licensed by the state in which supplies or

services are furnished. Qualified home infusion therapy suppliers must furnish infusion therapy to individuals with acute

or chronic conditions requiring administration of home infusion drugs; ensure the safe and effective provision and

administration of home infusion therapy on a 7-day-a-week, 24-hour-a-day basis; and be accredited by an organization

designated by the Secretary. The supplier may subcontract with a pharmacy, physician, other qualified supplier or

provider of services in order to meet these requirements.