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" Notwithstanding any other provisions of this title, no payment may be made under part A or part B for any expenses incurred for items or services — (1) which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to... "
The Code of Federal Regulations of the United States of America - Page 71
1985
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Code of Federal Regulations: Containing a Codification of Documents of ...

1997 - 780 pages
...52 FR 4499. Feb. 12, 1987] §410.102 Excluded services. None of the services specified in §410.100 is covered as a CORF service if the service — (a)...require the skilled services of nurses or therapists. §410.105 Requirements for coverage of CORF services. Services specified in §410.100 and not excluded...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1998 - 904 pages
...19вТ] {410.102 Excluded services. None of the services specified in §410.100 is covered as a CORP service if the service — (a) Would not be covered...require the skilled services of nurses or therapists. S 410.105 Requirements for coverage of CORF services. Services specified in §410.100 and not excluded...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1990 - 1086 pages
...I 410.100 is covered as a CORP service if the service— (a) Would not be covered as an in patient hospital service if furnished to a hospital inpatient;...require the skilled services of nurses or therapists. §410.105 Requirements for coverage of CORF services. Services specified in 1 410.100 and not excluded...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1977 - 920 pages
...after October 30, 1972, which involve custodial care (§405.310(g)) or items or services which are not reasonable and necessary for the diagnosis or...improve the functioning of a malformed body member (§ 405.310(k», if: (1) Such items or services were furnished by a provider of services (see § 405.605),...
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Code of Federal Regulations: Containing a Codification of Documents of ...

2000 - 992 pages
...service for which the Medicare or Medicald program may pay. Covered means that a service is described as reasonable and necessary for the diagnosis or treatment...Improve the functioning of a malformed body member. A service is not covered If it is specifically identified as excluded from Medicare Part В coverage...
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The Code of Federal Regulations of the United States of America

1982 - 964 pages
...comfort items and senices (for example a television set, or telephone service, etc.); (k) Which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improw the functioning of a malformed bodj member (thus, payment could not be made for the rental of...
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The Code of Federal Regulations of the United States of America

1989 - 836 pages
...Part A benefits, if HCPA reimburses the provider for those services. (d) Custodial care and services not reasonable and necessary for the diagnosis or treatment of illness or injury, if(1) The beneficiary was without fault in incurring the expenses; and (2) The determination that payment...
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Committee Prints

United States. Congress. Senate. Special Committee on Aging - 1965 - 76 pages
...may be made under part A or part B for any expenses incurred for items or services — "(1) which are not reasonable and necessary for the diagnosis or...improve the functioning of a malformed body member j " (2) for which the individual furnished such items or services has no legal obligati6n to pay, and...
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Social Security: Hearings, Eighty-ninth Congress, First Session, Part 1

United States. Congress. Senate. Committee on Finance - 1965 - 556 pages
...may be made under part A or part B for any expenses incurred for items or services — "(1) which are not reasonable and necessary for the diagnosis or...improve the functioning of a malformed body member; "(2) for which the individual furnished such items or services has no legal obligation to pay, and...
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Hearings, Reports and Prints of the Senate Special Committee on Aging

United States. Congress. Senate. Special Committee on Aging - 1965 - 344 pages
...must impose like conditions for payment of services under health insurance programs). "(1) which are not reasonable and necessary for the diagnosis or...improve the functioning of a malformed body member; "(3) which are paid for directly or indirectly by a governmental entity (other than under this Act...
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