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Part 409
FEDERAL · 42 CFR
Part 409 — Hospital Insurance Benefits
55 sections · Title 42: Public Health
§ 409.1
Statutory basis.
§ 409.2
Scope.
§ 409.3
Definitions.
§ 409.5
General description of benefits.
§ 409.10
Included services.
§ 409.11
Bed and board.
§ 409.12
Nursing and related services, medical social services; use of hospital or CAH facilities.
§ 409.13
Drugs and biologicals.
§ 409.14
Supplies, appliances, and equipment.
§ 409.15
Services furnished by an intern or a resident-in-training.
§ 409.16
Other diagnostic or therapeutic services.
§ 409.17
Physical therapy, occupational therapy, and speech-language pathology services.
§ 409.18
Services related to kidney transplantations.
§ 409.20
Coverage of services.
§ 409.21
Nursing care.
§ 409.22
Bed and board.
§ 409.23
Physical therapy, occupational therapy, and speech-language pathology services.
§ 409.24
Medical social services.
§ 409.25
Drugs, biologicals, supplies, appliances, and equipment.
§ 409.26
Transfer agreement hospital services.
§ 409.27
Other services generally provided by (or under arrangements made by) SNFs.
§ 409.30
Basic requirements.
§ 409.31
Level of care requirement.
§ 409.32
Criteria for skilled services and the need for skilled services.
§ 409.33
Examples of skilled nursing and rehabilitation services.
§ 409.34
Criteria for “daily basis”.
§ 409.35
Criteria for “practical matter”.
§ 409.36
Effect of discharge from posthospital SNF care.
§ 409.40
Basis, purpose, and scope.
§ 409.41
Requirement for payment.
§ 409.42
Beneficiary qualifications for coverage of services.
§ 409.43
Plan of care requirements.
§ 409.44
Skilled services requirements.
§ 409.45
Dependent services requirements.
§ 409.46
Allowable administrative costs.
§ 409.47
Place of service requirements.
§ 409.48
Visits.
§ 409.49
Excluded services.
§ 409.50
Coinsurance for durable medical equipment (DME) and applicable disposable devices furnished as a home health service.
§ 409.60
Benefit periods.
§ 409.61
General limitations on amount of benefits.
§ 409.62
Lifetime maximum on inpatient psychiatric care.
§ 409.63
Reduction of inpatient psychiatric benefit days available in the initial benefit period.
§ 409.64
Services that are counted toward allowable amounts.
§ 409.65
Lifetime reserve days.
§ 409.66
Revocation of election not to use lifetime reserve days.
§ 409.68
Guarantee of payment for inpatient hospital or inpatient CAH services furnished before notification of exhaustion of benefits.
§ 409.80
Inpatient deductible and coinsurance: General provisions.
§ 409.82
Inpatient hospital deductible.
§ 409.83
Inpatient hospital coinsurance.
§ 409.85
Skilled nursing facility (SNF) care coinsurance.
§ 409.87
Blood deductible.
§ 409.89
Exemption of kidney donors from deductible and coinsurance requirements.
§ 409.100
To whom payment is made.
§ 409.102
Amounts of payment.