Code of Federal Regulations: Containing a Codification of Documents of General Applicability and Future Effect as of December 31, 1948, with Ancillaries and IndexDivision of the Federal Register, the National Archives, 1980 Special edition of the Federal Register, containing a codification of documents of general applicability and future effect ... with ancillaries. |
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Page 16
... eligible to have payment made on his behalf , or to him directly ( for certain hospital services ) , subject to the ... eligibility for hospital insurance bene- fits ( see 405.103 ) because such indi- vidual has 16 § 405.101 Title 42 ...
... eligible to have payment made on his behalf , or to him directly ( for certain hospital services ) , subject to the ... eligibility for hospital insurance bene- fits ( see 405.103 ) because such indi- vidual has 16 § 405.101 Title 42 ...
Page 20
... eligible individ- uals age 65 or over who do not other- wise qualify for hospital insurance benefits and are willing to pay the full average cost of such insurance in a monthly premium . Eligible individuals must enroll timely for this ...
... eligible individ- uals age 65 or over who do not other- wise qualify for hospital insurance benefits and are willing to pay the full average cost of such insurance in a monthly premium . Eligible individuals must enroll timely for this ...
Page 21
... eligibility to enroll for premium hospital insurance . An individual is eligible to enroll for premium hospital insurance if : ( 1 ) He has attained age 65 ; and ( 2 ) He is already enrolled under the supplementary medical insurance ...
... eligibility to enroll for premium hospital insurance . An individual is eligible to enroll for premium hospital insurance if : ( 1 ) He has attained age 65 ; and ( 2 ) He is already enrolled under the supplementary medical insurance ...
Page 24
... eligible for 60 additional days of inpatient hospital services ( see § 405.110 ) . Before these days can be used to ... eligibility was previously reduced ; plus , the 60 additional days available under § 405.110 ; and ( iii ) Days spent ...
... eligible for 60 additional days of inpatient hospital services ( see § 405.110 ) . Before these days can be used to ... eligibility was previously reduced ; plus , the 60 additional days available under § 405.110 ; and ( iii ) Days spent ...
Page 25
... eligible , with respect to services furnished after such date , to have payment made for up to 150 days of inpa- tient hospital services during such spell of illness if the services are furnished to him by a tuberculosis hospital ( see ...
... eligible , with respect to services furnished after such date , to have payment made for up to 150 days of inpa- tient hospital services during such spell of illness if the services are furnished to him by a tuberculosis hospital ( see ...
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Common terms and phrases
Administration AFDC agreement allowable cost amended amount ance applicable appropriate approved assets basis benefits carrier certification charges clinic cluding coinsurance contract cost reporting coverage deductible dialysis eligible end-stage renal disease enrollees enrollment equipment ESRD Federal filed HCFA Health Care Financing health insurance health insurance program health services HMO's ices ICF/MR income individual inpatient hospital services institution intermediary items or services laboratory licensed Medicaid agency medically needy Medicare meet ment month notice organization paragraph participation party patient payment percent person personnel physi physical therapy physician premiums procedures provider of services provider's qualified quirements recipients Redesignated at 42 reimbursement renal renal dialysis request requirements resident Secretary Sept serv services furnished skilled nursing facility Social Security Act Social Security Administration specified speech pathology staff Standard Subpart supervision supplementary medical insurance supplier termination tient tion treatment utilization review vidual
Popular passages
Page 79 - Payment under this title may not be made with respect to any item or service to the extent that payment has been made, or can reasonably be expected to be made (as determined in accordance with regulations), with respect to such item or service, under a workmen's compensation law or plan of the United States or a State.
Page 471 - ... provide safeguards which restrict the use or disclosure of information concerning applicants and recipients to purposes directly connected with the administration of aid to dependent children...
Page 560 - hospital' also includes a Christian Science sanatorium operated, or listed and certified, by the First Church of Christ, Scientist, Boston, Massachusetts...
Page 404 - Security for the purpose of reviewing the status of the Federal OldAge and Survivors Insurance Trust Fund, the Federal Disability Insurance Trust Fund, the Federal Hospital Insurance Trust Fund...
Page 168 - December 31, 1970, or (ii) the prevailing charge level that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 percent of the customary charges...
Page 183 - USE OF STATE AGENCIES TO DETERMINE COMPLIANCE BY PROVIDERS OF ' SERVICES WITH CONDITIONS OF PARTICIPATION "SEC. 1864. (a) The Secretary shall make an agreement with any State which is able and willing to do so under which the services of the State health agency or other appropriate State agency (or the appropriate local agencies) will be utilized by...
Page 40 - ... post-hospital extended care services, such services are or were required to be given because the individual needs or needed on a daily basis skilled nursing care (provided directly by or requiring the supervision of skilled nursing personnel) or other skilled rehabilitation services, which as a practical matter can only be provided in a skilled nursing facility on an inpatient basis...
Page 342 - ... (4) in the case of an agency or organization in any State in which State or applicable local law provides for the licensing of agencies or organizations of this nature, (A) is licensed pursuant to such law, or (B) is approved, by the agency of such State or locality responsible for licensing...
Page 211 - Being known to the plaintiff, it is to be presumed, in the absence of any evidence to the contrary, that the parties contracted in reference to it.
Page 191 - ... he may institute for the United States, or in the name of the United States, an action in a district court of the United States, in accordance with sections 1391 through 1393 of title 28, United States Code, for a restraining order, a preliminary or permanent injunction, or such other order as he deems appropriate.