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Code of Federal Regulations Title 42. Public Health § 42.440.10 Inpatient hospital services, other than services in an institution for mental diseases

Current as of January 02, 2025 | Updated by Findlaw Staff

(a) Inpatient hospital services means services that—

(1) Are ordinarily furnished in a hospital for the care and treatment of inpatients;

(2) Are furnished under the direction of a physician or dentist;  and

(3) Are furnished in an institution that—

(i) Is maintained primarily for the care and treatment of patients with disorders other than mental diseases;

(ii) Is licensed or formally approved as a hospital by an officially designated authority for State standard-setting;

(iii) Meets the requirements for participation in Medicare as a hospital;  and

(iv) Has in effect a utilization review plan, applicable to all Medicaid patients, that meets the requirements of § 482.30 of this chapter, unless a waiver has been granted by the Secretary.

(b) Inpatient hospital services do not include SNF and ICF services furnished by a hospital with a swing-bed approval.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.440.10 Inpatient hospital services, other than services in an institution for mental diseases - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-440-10/

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