HI 00601.000 Hospital Insurance

Subchapter Table of Contents Section Latest Transmittal HI 00601.001 Scope of Benefits TN 5 10-22 HI 00601.005 Covered Part A Inpatient Hospital Services TN 10 02-23 HI 00601.010 Hospital Inpatient Services - Coverage Guidelines TN 5 10-22 HI 00601.015 Bed and Board TN 10 02-23 HI 00601.020 Nursing and Other Services TN 5 10-22 HI 00601.025 Drugs and Biologicals TN 5 10-22 HI 00601.030 Supplies, Appliances and Equipment TN 5 10-22 HI 00601.035 Other Diagnostic or Therapeutic Items or Services TN 5 10-22 HI 00601.040 Services of Interns or Residents-in-Training HI 00601.045 Inpatient Services in Connection with Dental Services HI 00601.050 Therapy Services TN 5 10-22 HI 00601.055 Inpatient Hospital Services Counting Toward Maximums HI 00601.060 Guarantee of Payment for Inpatient Hospital Service TN 5 10-22 HI 00601.065 Lifetime Reserve Days TN 6 10-22 HI 00601.070 Inpatient Day Defined HI 00601.075 Late Discharge TN 6 10-22 HI 00601.080 Leaves of Absence TN 6 10-22 HI 00601.085 Discharge or Death on First Day of Entitlement or Participation TN 6 10-22 HI 00601.090 Limitation on Inpatient Psychiatric Benefits in Initial Benefit Period TN 10 02-23 HI 00601.095 Patient's Status in Applying Reduction TN 6 10-22 HI 00601.100 Institution's Status in Determining Reduction in Days HI 00601.105 Counting Days of Admission, Discharge, and Leave in Reducing Days HI 00601.110 Inpatient Psychiatric Hospital Services—Lifetime Limitation HI 00601.115 Inpatient Service Days Counting Toward Maximums Extended Care Services—Coverage HI 00601.120 Coverage of Extended Care Services HI 00601.125 SNF Coverage Guidelines TN 6 10-22 HI 00601.130 Prior Hospitalization and Transfer Requirements TN 6 10-22 HI 00601.135 Covered Level of Care TN 6 10-22 HI 00601.140 Daily Skilled Service TN 6 10-22 HI 00601.145 Skilled Nursing Services HI 00601.150 Nonskilled Nursing Services HI 00601.155 Questionable Situations HI 00601.160 Physical Therapy as Basis for Extended Care HI 00601.165 Other Rehabilitation Service as a Basis for Extended Care HI 00601.170 Need Satisfied Only by SNF Inpatient Care HI 00601.175 Covered Extended Care Services TN 7 10-22 HI 00601.180 Nursing Care Provided by or Under the Supervision of a Registered Professional Nurse TN 7 10-22 HI 00601.185 Bed and Board in Semi-Private Accommodations Furnished in Connection With Nursing Care HI 00601.190 Physical, Speech and Occupational Therapy Furnished by the SNF or by Others Under Arrangements with the SNF and Under Its Supervision HI 00601.195 Medical Social Services TN 7 10-22 HI 00601.200 Drugs and Biologicals TN 7 10-22 HI 00601.205 Supplies, Appliances and Equipment TN 7 10-22 HI 00601.210 Medical Services of an Intern or Resident-in-Training HI 00601.220 Other Diagnostic or Therapeutic Services Provided by a Hospital HI 00601.230 Other Services HI 00601.270 Extended Care Benefit Days TN 7 10-22 HI 00601.280 Inpatient Extended Care Services Counting Toward Maximums HI 00601.290 Covered Hospice Services TN 7 10-22 HI 00601.295 Hospice Care - Requirements for Coverage TN 10 02-23 HI 00601.300 Home Health Services TN 7 10-22 HI 00601.310 HHA Coverage—Discussion Guidelines TN 7 10-22 Covered Services HI 00601.320 Nursing Care HI 00601.330 Definition of “Intermittent” HI 00601.340 When Skilled Nursing Care is Reimbursable TN 8 10-22 HI 00601.350 Skilled Nursing Services—Examples TN 10 02-23 HI 00601.360 Student Nurses TN 8 10-22 HI 00601.370 Psychiatric Nursing TN 8 10-22 HI 00601.380 Physical, Speech and Occupational Therapy Furnished by an HHA or by Others Under Arrangements With the HHA and Under its Supervision Other Home Health Services HI 00601.390 Medical Social Services HI 00601.400 Services of a Home Health Aide TN 8 10-22 HI 00601.410 Medical Supplies (Except for Drugs and Biologicals) and the Use of Medical Appliances TN 8 10-22 HI 00601.420 Services of Interns and Residents HI 00601.430 Outpatient Services TN 8 10-22 HI 00601.440 Part Time or Intermittent Services TN 8 10-22 HI 00601.450 Counting Visits Under the Hospital and Medical Plans TN 8 10-22 HHA Exclusions HI 00601.460 Specific Exclusions from Coverage as Home Health Services HI 00601.470 Special Conditions for Coverage of Home Health Services Under Hospital Insurance (Part A) TN 8 10-22 HI 00601.480 Fourteen Day Limit on Plan Establishment TN 9 10-22 HI 00601.490 Related Illness or Impairment TN 9 10-22 HI 00601.500 Transfer of Patient HI 00601.510 Duration of Home Health Services Under Hospital Insurance TN 9 10-22 HI 00601.520 Presumption of Coverage HI 00601.550 Inpatient Hospital Deductible TN 4 01-20 HI 00601.560 Inpatient Hospital Coinsurance TN 9 10-22 HI 00601.570 Extended Care Coinsurance TN 4 01-20 HI 00601.575 Basis for Determining the Coinsurance Amounts HI 00601.580 Part A Blood Deductible TN 10 02-23 Provider Cost Limits HI 00601.590 Background HI 00601.600 Provider Charges to Beneficiaries for Excess Costs TN 9 10-22 HI 00601.610 Determining Emergency Services TN 9 10-22 HI 00601.620 District Office Role TN 9 10-22