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 6
... health agen- cies in handling cases . Subpart B - Supplementary Medical Insurance Benefits ; Enrollment , Coverage , Exclusions , and Payment 405.201 Supplementary medical insurance ; general . 405.202 Enrollment ; general . 405.205 ...
... health agen- cies in handling cases . Subpart B - Supplementary Medical Insurance Benefits ; Enrollment , Coverage , Exclusions , and Payment 405.201 Supplementary medical insurance ; general . 405.202 Enrollment ; general . 405.205 ...
Page 8
... health insurance program for services of interns and residents . 405.541 Criteria for determination of rea- sonable ... health insurance payments . 405.659 Reinstatement of emergency serv- ice hospital after notice of failure to continue ...
... health insurance program for services of interns and residents . 405.541 Criteria for determination of rea- sonable ... health insurance payments . 405.659 Reinstatement of emergency serv- ice hospital after notice of failure to continue ...
Page 12
... health services covered by the supplementary medical insurance program furnished by a pro- vider of services ... insurance benefits plan . 405.1678 Direct payment or assignment of payment ; prescribed form . 405.1679 Execution of claim ...
... health services covered by the supplementary medical insurance program furnished by a pro- vider of services ... insurance benefits plan . 405.1678 Direct payment or assignment of payment ; prescribed form . 405.1679 Execution of claim ...
Page 14
... Health insurance program benefi- ciary's entitlement to items and services . 405.2022 Liability of a health insurance program beneficiary enrolled in HMO . 405.2023 Enrollment procedures . 405.2024 Membership rules . an Sec . 405.2025 ...
... Health insurance program benefi- ciary's entitlement to items and services . 405.2022 Liability of a health insurance program beneficiary enrolled in HMO . 405.2023 Enrollment procedures . 405.2024 Membership rules . an Sec . 405.2025 ...
Page 17
... insurance benefit under sec- tion 202 of the Social Security Act , or to have been a qualified railroad re- tirement ... health benefits plan under the Federal Employees Health Benefits Act of 1959 as of February 16 , 1965 , or as of the ...
... insurance benefit under sec- tion 202 of the Social Security Act , or to have been a qualified railroad re- tirement ... health benefits plan under the Federal Employees Health Benefits Act of 1959 as of February 16 , 1965 , or as of the ...
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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.