TN



License required (In-state)Req. for suppliers (Out-of-state)Licensing AgencyVerify OnlineReq. for Pharmacies (in-state)Notes

Automatic Ext Defibrillator (AEDS) and/or Supplies (DM01)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Blood Glucose Monitors/ Supplies (Non-Mail Order) (DM05)

No License Required

No

N/ANo

No

N/A

Blood Glucose Monitors/Supplies (Mail Order) (DM06)

No License Required

No

N/ANo

No

N/A

Breast Prostheses and/or Accessories (PD01)

No License Required

No

N/ANo

No

N/A

Canes and/or Crutches (M01)

No License Required

No

N/ANo

No

N/A

Cochlear Implants (PD02)

No License Required

No

N/ANo

No

N/A

Commodes, Urinals, Bedpans (DM02)

No License Required

No

N/ANo

No

N/A

Continuous Passive Motion (CPM) Devices (DM03)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Continuous Positive Airway Pressure (CPAP Devices) (R01)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A
Certified Respiratory Therapist License

Yes

Tennessee Department of Health, Board of Respiratory Care

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

E

Contracture Treatment Devices: Dynamic Splint (DM04)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Diabetic Shoes and Inserts (S02)

No License Required

No

N/ANo

No

N/A

Diabetic Shoes/Inserts – Custom (S03)

Pedorthist License

Yes

Tennessee Department of Health, Board of Podiatric Medical Examiner

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

C
Or Orthotist License

Yes

Tennessee Department of Health, Board of Podiatric Medical Examiner

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

C

Enteral Equipment and Supplies (PE04)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

No

A

Enteral Nutrients (PE03)

No License Required

No

N/ANo

No

N/A

Epoetin (A01)

Pharmacy License

Yes

Tennessee Department of Health, Board of Pharmacy

Yes

https://apps.health.tn.gov/facilityListings/

Yes

N/A

External Infusion Pump Supplies (DM24)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

External Infusion Pumps (DM12)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Facial Prostheses (PD03)

No License Required

No

N/ANo

No

N/A

Gastric Suction Pumps (DM07)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Heat & Cold Applications (DM08)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

High Frequency Chest Wall Oscillation Devices/Supplies (R02)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A
Certified Respiratory Therapist License

Yes

Tennessee Department of Health, Board of Respiratory Care

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

E

Hospital Beds (Electric) (DM09)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Hospital Beds (Manual) (DM10)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Immunosuppressive Drugs (A02)

Pharmacy License

Yes

Tennessee Department of Health, Board of Pharmacy

Yes

https://apps.health.tn.gov/facilityListings/

Yes

N/A

Implanted Infusion Pumps and/or Supplies (DM14)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Infrared Heating Pads Systems and/or supplies (DM11)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Infusion Drugs (A03)

Pharmacy License

Yes

Tennessee Department of Health, Board of Pharmacy

Yes

https://apps.health.tn.gov/facilityListings/

Yes

N/A

Insulin Infusion Pump Supplies (DM25)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Insulin Infusion Pumps (DM13)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Intermittent Positive Pressure Breathing (IPPB Devices) (R04)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A
Certified Respiratory Therapist License

Yes

Tennessee Department of Health, Board of Respiratory Care

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

E

Intrapulmonary Percussive Ventilation Devices (R05)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A
Certified Respiratory Therapist License

Yes

Tennessee Department of Health, Board of Respiratory Care

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

E

Invasive Mechanical Ventilation (R03)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A
Certified Respiratory Therapist License

Yes

Tennessee Department of Health, Board of Respiratory Care

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

E

Limb Prostheses (PR01)

Prosthetist License

Yes

Tennessee Department of Health, Board of Podiatric Medical Examiner

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

C

Mechanical In-Exsufflation Devices (R06)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A
Certified Respiratory Therapist License

Yes

Tennessee Department of Health, Board of Respiratory Care

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

E

Nebulizer Drugs (A04)

Pharmacy License

Yes

Tennessee Department of Health, Board of Pharmacy

Yes

https://apps.health.tn.gov/facilityListings/

Yes

N/A

Nebulizer Equipment and/or Supplies (R07)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Negative Pressure Wound Therapy Pumps/ Supplies (DM15)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Neuromuscular Elect Stimulators (NMES)/Supplies (DM16)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Neurostimulators and/or Supplies (PD04)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Ocular Prostheses (PD05)

No License Required

No

N/ANo

No

N/A

Oral Anticancer Drugs (A05)

Pharmacy License

Yes

Tennessee Department of Health, Board of Pharmacy

Yes

https://apps.health.tn.gov/facilityListings/

Yes

N/A

Oral Antiemetic Drugs (A06)

Pharmacy License

Yes

Tennessee Department of Health, Board of Pharmacy

Yes

https://apps.health.tn.gov/facilityListings/

Yes

N/A

Orthoses: Custom Fab (OR01)

Orthotist License

Yes

Tennessee Department of Health, Board of Podiatric Medical Examiner

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

C

Orthoses: Off the Shelf (OR03)

No License Required

No

N/ANo

No

N/A

Orthoses: Prefabricated (Custom Fitted) (OR02)

ABC Certified Orthotic Fitter

Yes

The American Board for Certification in Orthotics, Prosthetics, & Pedorthics

Yes

https://www.abcop.org/Pages/Individual-Search.aspx

Yes

G
BOC Certified Orthotic Fitter

Yes

Board of Certification/Accreditation (BOC)

Yes

http://go.bocusa.org/map.htm?marker_type=person&igid=24941

Yes

G

Osteogenesis Stimulators (DM17)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Ostomy Supplies (PD06)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Oxygen Equipment and/or Supplies (R08)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A
Distributor License

Yes

Tennessee Department of Health, Board of Pharmacy

Yes

https://apps.health.tn.gov/facilityListings/

No

H
Certified Respiratory Therapist License

Yes

Tennessee Department of Health, Board of Respiratory Care

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

E

Parenteral Equipment and Supplies (PE06)

Pharmacy License

Yes

Tennessee Department of Health, Board of Pharmacy

Yes

https://apps.health.tn.gov/facilityListings/

Yes

N/A

Parenteral Nutrients (PE05)

Pharmacy License

Yes

Tennessee Department of Health, Board of Pharmacy

Yes

https://apps.health.tn.gov/facilityListings/

Yes

N/A

Patient Lifts (M02)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Pneumatic Compression Devices and/or Supplies (DM18)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Power Operated Vehicles (Scooters) (M03)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Prosthetic Lenses: Conventional Contact Lenses (PD12)

Dispensing Optician License

Yes

Tennessee Department of Health, Board of Dispensing Opticians

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

N/A

Prosthetic Lenses: Conventional Eyeglasses (PD11)

Dispensing Optician License

Yes

Tennessee Department of Health, Board of Dispensing Opticians

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

N/A

Prosthetic Lenses: Prosthetic Cataract Lenses (PD13)

Dispensing Optician License

Yes

Tennessee Department of Health, Board of Dispensing Opticians

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

N/A

Respiratory Assist Devices (R09)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A
Certified Respiratory Therapist License

Yes

Tennessee Department of Health, Board of Respiratory Care

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

E

Respiratory Suction Pumps (R10)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A
Certified Respiratory Therapist License

Yes

Tennessee Department of Health, Board of Respiratory Care

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

E

Seat Lift Mechanisms (M04)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Somatic Prostheses (PD07)

No License Required

No

N/ANo

No

N/A

Speech Generating Devices (DM19)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Support Surfaces: Pressure Reducing Beds/Mats/Pads - New (DM20)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Support Surfaces: Pressure Reducing Beds/Mats/Pads - Used (DM26)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Surgical Dressings (S01)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

TENS and/or Supplies (DM22)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Tracheostomy Supplies (PD08)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Traction Equipment (DM21)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Ultraviolet Light Devices and/or Supplies (DM23)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Urological Supplies (PD09)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Vacuum Erection/ Penile Pumps (OR04)

No License Required

No

N/ANo

No

N/A

Ventilators: All Types - Not CPAP or RAD (R12)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A
Certified Respiratory Therapist License

Yes

Tennessee Department of Health, Board of Respiratory Care

Yes

https://apps.health.tn.gov/Licensure/default.aspx

Yes

E

Voice Prosthetics (PD10)

No License Required

No

N/ANo

No

N/A

Walkers (M05)

No License Required

No

N/ANo

No

N/A

Wheelchair Seating/Cushions (M10)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Wheelchairs (Complex Rehab Manual Rel Accessories) (M08A)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Wheelchairs (Complex Rehab Power Rel Accessories) (M09A)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Wheelchairs (Complex Rehabilitative Manual) (M08)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Wheelchairs (Complex Rehabilitative Power) (M09)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Wheelchairs (Standard Manual Related Accessories and Repairs) (M06A)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Wheelchairs (Standard Manual) (M06)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Wheelchairs (Standard Power Related Accessories and Repairs) (M07A)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A

Wheelchairs (Standard Power) (M07)

Home Medical Equipment LicenseSee Note FTennessee Department of Health, Board for Licensing Health Care Facilities

Yes

https://apps.health.tn.gov/facilityListings/

Yes

A


Specialty Database


License required (In-state)Req. for suppliers (Out-of-state)Licensing AgencyVerify OnlineReq. for Pharmacies (in-state)Notes

Ambulatory Surgical Center

Ambulatory Surgical Center License

No

Tennessee Department of Health, Board for Licensing Health Care Facilities

Yes

No

N/A

Home Health Agency

Home Health Agency License

No

Tennessee Department of Health, Board for Licensing Health Care Facilities

Yes

No

N/A

Hospital

Hospital License

No

Tennessee Department of Health, Board for Licensing Health Care Facilities

Yes

No

N/A

Nursing Home (Skilled, Intermediate Care)

Nursing Home License

No

Tennessee Department of Health, Board for Licensing Health Care Facilities

Yes

No

N/A
Nursing Home Administrator License

No

Tennessee Department of Health, Board of Nursing Home Administrators

Yes

No

N/A

Optometrist

Optometrist License

No

Tennessee Department of Health, Division of Health Related Boards

Yes

No

N/A

Physician

Physician License

No

Tennessee Department of Health, Division of Health Related Boards

Yes

No

N/A
Licensing Agencies:
Tennessee Department of Health, Board for Licensing Health Care Facilities
Phone: 615-741-7221
Web: https://www.tn.gov/health/health-program-areas/health-professional-boards/hcf-board.html
  • Ambulatory Surgical Center License
  • Home Health Agency License
  • Home Medical Equipment License
  • Hospital License
  • Nursing Home License
Tennessee Department of Health, Board of Pharmacy
Phone: 615-741-2718
Web: https://www.tn.gov/health/health-program-areas/health-professional-boards/pharmacy-board.html
  • Distributor License
  • Pharmacy License
Tennessee Department of Health, Board of Podiatric Medical Examiner
Phone: 615-741-5735
Toll free: 800-778-4123
Web: https://www.tn.gov/health/health-program-areas/health-professional-boards/podiatric-board.html
  • Orthotist License
  • Pedorthist License
  • Prosthetist License
Tennessee Department of Health, Division of Health Related Boards
Phone: 615-532-3202
Web: https://www.tn.gov/health/health-program-areas/health-professional-boards.html
  • Optometrist License
  • Physician License
Tennessee Department of Health, Board of Nursing Home Administrators
Phone: 615-532-3202
Web: https://www.tn.gov/health/health-program-areas/health-professional-boards/nha-board.html
  • Nursing Home Administrator License
Tennessee Department of Health, Board of Dispensing Opticians
Phone: 615-741-5735
Toll Free: 800-778-4123
Web: https://www.tn.gov/health/health-program-areas/health-professional-boards/do-board.html
  • Dispensing Optician License
Tennessee Department of Health, Board of Respiratory Care
Phone local: 615-741-3807
Phone nationwide: 800-778-4123
Web: https://www.tn.gov/health/health-program-areas/health-professional-boards/rc-board.html
  • Certified Respiratory Therapist License
  • Registered Respiratory Therapist License
The American Board for Certification in Orthotics, Prosthetics, & Pedorthics
Phone: 703-836-7114
Web: http://www.abcop.org/Pages/default.aspx
  • ABC Certified Orthotic Fitter
Board of Certification/Accreditation (BOC)
Web: https://www.bocusa.org/
  • BOC Certified Orthotic Fitter
Notes:17
A - Suppliers including Pharmacies may be exempt from the Home Medical Equipment License if they do not deliver or mail any devices to a person’s residence. Per Tenn. Code Ann. § 68-11-201(16)(B), the Home Medical Equipment License does not apply to: (1) Medical equipment used or dispensed in the normal course of treating patients by hospitals and nursing facilities as defined in this part, other than medical equipment delivered or dispensed by a separate unit or subsidiary corporation of a hospital or nursing facility or agency that is in the business of delivering home medical equipment to an individual’s residence; (2) Upper and lower extremity prosthetics and related orthotics; (3) Canes, crutches, walkers, and bathtub grab bars; (4) Medical equipment provided through a physician’s office incident to a physician’s service, other than delivering medical equipment to the resident’s home; (5) Equipment provided by a pharmacist which is used to administer drugs or medicine that can be dispensed only by a pharmacist; (6) Enteral and parenteral equipment provided by a pharmacist.

C - A license to provide custom orthotics or prosthetics is not required of a health care practitioner licensed under Title 63, such as a physician or nurse who is acting within his or her lawful scope of practice. A full list of the state’s exemptions can be found at https://publications.tnsosfiles.com/rules/1155/1155-04.20170723.pdf.

E - A Registered Respiratory Therapist License is also acceptable. Any instruction and education of the patient regarding the prescription and clinical use of the equipment must be performed by a Tennessee Licensed Certified Respiratory Therapist, Licensed Registered Respiratory Therapist or another authorized practitioner such as a physician or registered nurse. A supplier may contract with a Tennessee qualified individual to provide this service to the patient. Delivery, repair or maintenance of respiratory equipment does not constitute the practice of respiratory care. Edited 10/31/16.

F - In addition, by both law and regulation, in order to be licensed to ship medical equipment into this State, a provider must maintain an office in Tennessee. That provision is located in 1200-08-29-.06(5) and states: (5) Physical Location. Each parent and/or branch shall: (a) Be located in Tennessee; (b) Be staffed during normal business hours and have a working telephone; (c) Be used for the dispensing, servicing, and storage of home medical equipment or related health care services; (d) Meet all local zoning requirements; and (e) Have all required current licenses and/or permits conspicuously posted in the agency.

G - Tennessee does not issue an orthotic fitter license but requires certification from a recognized agency like ABC or BOC.

H - The Distributor license allows for the distribution of medical gases to patients. (Effective: 02/21/1992; Added: 10/09/2013)

Z - As of 2008, Cochlear Implants are no longer considered DME, and they are now paid through Part B