1. Effect of benefit period on

Official source

HI coverage extends only to home health visits (100 or less) furnished after the beginning of one benefit period (see HI 00401.340 ) and before the beginning of the next.

The controlling event is the beginning of the benefit period and it is immaterial whether the patient is either in a benefit period, or has ended a benefit period and not begun a new one. A series of visits ends with the beginning of a new benefit period.

For purposes of qualifying for posthospital home health benefits, a benefit period begins with a stay in a hospital accredited by the Joint Commission on Accreditation of Hospitals (JCAH), or the American Osteopathic Association (AOA), even though the hospital does not participate in the Medicare program. This rule applies regardless of whether the hospital is within the United States or in a foreign country or whether the services are emergency or nonemergency.

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1. Effect of benefit period on

Official source

HI coverage extends only to home health visits (100 or less) furnished after the beginning of one benefit period (see HI 00401.340 ) and before the beginning of the next.

The controlling event is the beginning of the benefit period and it is immaterial whether the patient is either in a benefit period, or has ended a benefit period and not begun a new one. A series of visits ends with the beginning of a new benefit period.

For purposes of qualifying for posthospital home health benefits, a benefit period begins with a stay in a hospital accredited by the Joint Commission on Accreditation of Hospitals (JCAH), or the American Osteopathic Association (AOA), even though the hospital does not participate in the Medicare program. This rule applies regardless of whether the hospital is within the United States or in a foreign country or whether the services are emergency or nonemergency.