Social Security Act §1833

(1)Notwithstandingany other provision of this part, with respect to expenses incurredin a calendar year in connection with the treatment of mental, psychoneurotic,and personality disorders of an individual who is not an inpatientof a hospital at the time such expenses are incurred, there shallbe considered as incurred expenses for purposes of subsections (a)and (b)(A)for expensesincurred in years prior to 2010, only 621/2 percent of such expenses;(B)for expensesincurred in 2010 or 2011, only 683/4 percent of such expenses;(C)for expensesincurred in 2012, only 75 percent of such expenses;(D)for expensesincurred in 2013, only 811/4 percent of such expenses; and(E)for expensesincurred in 2014 or any subsequent calendar year, 100 percent of suchexpenses.(2)For purposes ofsubparagraphs (A) through (D) of paragraph (1), the term treatment does not include brief office visits (as defined by the Secretary)for the sole purpose of monitoring or changing drug prescriptionsused in the treatment of such disorders or partial hospitalizationservices that are not directly provided by a physician(d)No payment maybe made under this part with respect to any services furnished anindividual to the extent that such individual is entitled (or wouldbe entitled except for section 1813) to have payment made with respectto such services under part A.(e)No payment shallbe made to any provider of services or other person under this partunless there has been furnished such information as may be necessaryin order to determine the amounts due such provider or other personunder this part for the period with respect to which the amounts arebeing paid or for any prior period.(f)In establishinglimits under subsection (a) on payment for rural health clinic servicesprovided by rural health clinics (other than such clinics in hospitalswith less than 50 beds), the Secretary shall establish such limit,for services provided(1)in 1988, afterMarch 31, at $46 per visit, and(2)in a subsequentyear, at the limit established under this subsection for the previousyear increased by the percentage increase in the MEI (as defined insection 1842(i)(3)) applicable to primary care services (as defined in section 1842(i)(4)) furnishedas of the first day of that year.(g)(1)[87](A)Subject toparagraphs (4) and (5), in the case of physical therapy services ofthe type described in section 1861(p) and speech-language pathologyservices of the type described in such section through the applicationof section 1861(ll)(2), but(except as provided in paragraph (6)) not described in section 1833(a)(8)(B),and physical therapy services and speech-language pathology servicesof such type which are furnished by a physician or as incident tophysicians services, with respect to expenses incurred in anycalendar year, no more than the amount specified in paragraph (2)for the year shall be considered as incurred expenses for purposesof subsections (a) and (b). The preceding sentence shall not applyto expenses incurred with respect to services furnished after December31, 2017.(B)With respectto services furnished during 2018 or a subsequent year, in the caseof physical therapy services of the type described in section 1861(p),speech-language pathology services of the type described in such sectionthrough the application of section 1861(ll)(2), and physical therapyservices and speech-language pathology services of such type whichare furnished by a physician or as incident to physicians' services,with respect to expenses incurred in any calendar year, any amountthat is more than the amount specified in paragraph (2) for the yearshall not be considered as incurred expenses for purposes of subsections(a) and (b) unless the applicable requirements of paragraph (7) aremet.(2)The amount specifiedin this paragraph(A)for 1999,2000, and 2001, is $1,500, and(B)for a subsequentyear is the amount specified in this paragraph for the preceding yearincreased by the percentage increase in the MEI (as defined in section 1842(i)(3)) forsuch subsequent year;except that if an increase under subparagraph (B) for a yearis not a multiple of $10, it shall be rounded to the nearest multipleof $10.(3)