§ 440.10 - Inpatient hospital services, other than services in an institution for mental diseases.  


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  • § 440.10 Inpatient hospital services, other than services in an institution for mental diseases.

    (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.

    [47 FR 21050, May 17, 1982, as amended at 47 FR 31532, July 20, 1982; 51 FR 22041, June 17, 1986, 52 FR 47934, Dec. 17, 1987; 60 FR 61486, Nov. 30, 1995]