42 C.F.R. PART 409--HOSPITAL INSURANCE BENEFITS
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER B--MEDICARE PROGRAM
PART 409--HOSPITAL INSURANCE BENEFITS
Subpart A--HOSPITAL INSURANCE BENEFITS: GENERAL PROVISIONS
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| General description of benefits.
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Subpart B--INPATIENT HOSPITAL SERVICES AND INPATIENT CRITICAL ACCESS HOSPITAL SERVICES
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| Nursing and related services, medical social services; use of hospital or CAH facilities.
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| Supplies, appliances, and equipment.
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| Services furnished by an intern or a resident-in-training.
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| Other diagnostic or therapeutic services.
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| Services related to kidney transplantations.
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Subpart C--POSTHOSPITAL SNF CARE
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| Physical, occupational, and speech therapy.
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| Drugs, biologicals, supplies, appliances, and equipment.
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| Transfer agreement hospital services.
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| Other services generally provided by (or under arrangements made by) SNFs.
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Subpart D--REQUIREMENTS FOR COVERAGE OF POSTHOSPITAL SNF CARE
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| Level of care requirement.
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| Criteria for skilled services and the need for skilled services.
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| Examples of skilled nursing and rehabilitation services.
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| Criteria for ''daily basis''.
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| Criteria for ''practical matter''.
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| Effect of discharge from posthospital SNF care.
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Subpart E--HOME HEALTH SERVICES UNDER HOSPITAL INSURANCE
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| Basis, purpose, and scope.
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| Beneficiary qualifications for coverage of services.
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| Plan of care requirements.
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| Skilled services requirements.
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| Dependent services requirements.
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| Allowable administrative costs.
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| Place of service requirements.
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| Coinsurance for durable medical equipment (DME) furnished as a home health service.
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Subpart F--SCOPE OF HOSPITAL INSURANCE BENEFITS
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| General limitations on amount of benefits.
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| Lifetime maximum on inpatient psychiatric care.
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| Reduction of inpatient psychiatric benefit days available in the initial benefit period.
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| Services that are counted toward allowable amounts.
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| Revocation of election not to use lifetime reserve days.
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| Guarantee of payment for inpatient hospital or inpatient CAH services furnished before notification of exhaustion of benefits.
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Subpart G--HOSPITAL INSURANCE DEDUCTIBLES AND COINSURANCE
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| Inpatient deductible and coinsurance: General provisions.
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| Inpatient hospital deductible.
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| Inpatient hospital coinsurance.
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| Skilled nursing facility (SNF) care coinsurance.
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| Exemption of kidney donors from deductible and coinsurance requirements.
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Subpart H--PAYMENT OF HOSPITAL INSURANCE BENEFITS