Section 405.2446 - Scope of services(a) For purposes of this section, the terms rural health clinic and RHC when they appear in the cross references in paragraph (b) of this section also mean Federally qualified health centers and FQHCs.(b) FQHC services that are paid for under this subpart are outpatient services that include the following:(1) Physician services specified in § 405.2412 .(2) Services and supplies furnished as incident to a physician's professional service, as specified in § 405.2413 .(3) Nurse practitioner, physician assistant or certified nurse midwife services as specified in § 405.2414 .(4) Services and supplies furnished as incident to a nurse practitioner, physician assistant, or certified nurse midwife service, as specified in § 405.2415 .(5) Clinical psychologist, clinical social worker, marriage and family therapist, and mental health counselor services specified in § 405.2450 .(6) Services and supplies furnished as incident to the services of a clinical psychologist, clinical social worker, marriage and family therapist, or mental health counselor, as specified in § 405.2452 .(7) Visiting nurse services specified in § 405.2416 .(8) Preventive primary services specified in § 405.2448 of this subpart.(9) Medical nutrition therapy services as specified in part 410, subpart G of this chapter, and diabetes outpatient self-management training services as specified in part 410, subpart H of this chapter.(10) Intensive outpatient services when provided in accordance with section 1861(ff)(4) of the Act and § 410.44 of this chapter.(c) FQHC services are covered when provided in outpatient settings only, including a patient's place of residence, which may be a skilled nursing facility or a nursing facility, other institution used as a patient's home, or are hospice attending physician services furnished during a hospice election.(d) FQHC services are not covered in a hospital, as defined in section 1861(e)(1) of the Act.57 FR 24979, June 12, 1992, as amended at 61 FR 14657, Apr. 3, 1996; 71 FR 69782 , Dec. 1, 2006; 79 FR 25476 , May 2, 2014; 86 FR 65660 , Nov. 19, 2021; 88 FR 79524 , Nov. 16, 2023; 88 FR 82176 , Nov. 22, 2023 86 FR 65660 , 1/1/2022; 88 FR 79524 , 1/1/2024; 88 FR 82176 , 1/1/2024