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CMS-1403-FC
under section 332(a)(1)(A) of the Public Health Service Act
(42 U.S.C. 254e(a)(1)(A)); in a county that is not included
in a Metropolitan Statistical Area; or in an entity that
participates in a Federal telemedicine demonstration
project that has been approved by (or receives funding
from) the Secretary of Health and Human Services as of
December 31, 2000. Previously, the statute described the
following originating sites: the office of a physician or
practitioner; a critical access hospital (as defined in
section 1861(mm)(1) of the Act); a rural health clinic (as
defined in section 1861(aa)(2) of the Act); a Federally
qualified health center (as defined in section 1861(aa)(4)
of the Act); and a hospital (as defined in section 1861(e)
of the Act).
Section 149 of the MIPPA amended section 1834 of the
Act to add certain entities as originating sites for
payment of telehealth services. As explained further
below, MIPPA also amended section 1888(e)(2)(A)(ii) of the
Act to exclude telehealth services furnished under section
1834(m)(4)(C)(ii)(VII) from the consolidated billing
provisions of the skilled nursing facility prospective
payment system (SNF PPS).
With respect to a telehealth service, subject to
section 1833(a)(1)(U) of the Act, we pay a facility fee to
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