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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 292
1989
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The Code of Federal Regulations of the United States of America

1997 - 782 pages
...1987] $410.102 Excluded services. None of the services specified in §410.100 is covered as a CORF service if the service — (a) Would not be covered...excluded under §410.102 are covered as CORF services if they are furnished by a participating CORF (that is, a CORF that meets the conditions of subpart B...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1977 - 1022 pages
...1987] § 410.102 Excluded services. None of the services specified in §410.100 is covered as a CORF service if the service — (a) Would not be covered...excluded under §410.102 are covered as CORF services if they are furnished by a participating CORF (that is, a CORF that meets the conditions of subpart B...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1988 - 866 pages
...1987] § 410.102 Excluded services. None of the services specified in § 410.100 is covered as a CORF service if the service— (a) Would not be covered...410.100 and not excluded under § 410.102 are covered as CORP services if the following requirements are met: (a) Referral and medical history. The services...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1998 - 904 pages
...home situation on the rehabilitation goals. [51 FR 41339. Nov. 14, 1986; 52 FR 4499, Feb. 12, 19вТ] {410.102 Excluded services. None of the services specified...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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The Code of Federal Regulations of the United States of America

1994 - 748 pages
...1987] § 410.102 Excluded services. None of the services specified in § 410.100 is covered as a CORF service if the service — (a) Would not be covered...require the skilled services of nurses or therapists. S410.106 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;...for coverage of CORF services. Services specified in 1 410.100 and not excluded under § 410.102 are covered as CORP services if the following requirements...
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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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