(a)
The RNHCI nursing visits are paid at the modified low utilization payment adjusted (LUPA) rate used under the home health prospective payment system at § 484.230 of this chapter.
(b)
Appropriate DME items are paid as priced by Medicare, minus the deductible and coinsurance liability of the beneficiary.
[69 FR 66419, Nov. 15, 2004]