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Section 409.1
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Scope |
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Section 409.2
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Definitions |
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Section 409.3
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General description of benefits |
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Section 409.5
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Included services |
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Section 409.10
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Bed and board |
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Section 409.11
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Nursing and related services, medical social services; use of hospital or CAH facilities |
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Section 409.12
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Drugs and biologicals |
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Section 409.13
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Supplies, appliances, and equipment |
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Section 409.14
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Services furnished by an intern or a resident-in-training |
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Section 409.15
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Other diagnostic or therapeutic services |
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Section 409.16
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Physical therapy, occupational therapy, and speech- language pathology services |
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Section 409.17
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Services related to kidney transplantations |
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Section 409.18
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Coverage of services |
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Section 409.20
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Nursing care |
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Section 409.21
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Bed and board |
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Section 409.22
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Physical therapy, occupational therapy, and speech- language pathology services |
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Section 409.23
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Medical social services |
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Section 409.24
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Drugs, biologicals, supplies, appliances, and equipment |
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Section 409.25
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Transfer agreement hospital services |
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Section 409.26
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Other services generally provided by (or under arrangements made by) SNFs |
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Section 409.27
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Basic requirements |
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Section 409.30
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Level of care requirement |
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Section 409.31
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Criteria for skilled services and the need for skilled services |
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Section 409.32
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Examples of skilled nursing and rehabilitation services |
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Section 409.33
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Criteria for ``daily basis'' |
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Section 409.34
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Criteria for ``practical matter'' |
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Section 409.35
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Effect of discharge from posthospital SNF care |
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Section 409.36
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Basis, purpose, and scope |
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Section 409.40
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Requirement for payment |
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Section 409.41
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Beneficiary qualifications for coverage of services |
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Section 409.42
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Plan of care requirements |
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Section 409.43
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Skilled services requirements |
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Section 409.44
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Dependent services requirements |
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Section 409.45
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Allowable administrative costs |
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Section 409.46
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Place of service requirements |
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Section 409.47
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Visits |
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Section 409.48
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Excluded services |
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Section 409.49
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Coinsurance for durable medical equipment (DME) furnished as a home health service |
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Section 409.50
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Benefit periods |
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Section 409.60
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General limitations on amount of benefits |
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Section 409.61
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Lifetime maximum on inpatient psychiatric care |
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Section 409.62
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Reduction of inpatient psychiatric benefit days |
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Section 409.63
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Services that are counted toward allowable amounts |
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Section 409.64
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Lifetime reserve days |
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Section 409.65
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Revocation of election not to use lifetime reserve days |
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Section 409.66
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Guarantee of payment for inpatient hospital or inpatient CAH services furnished before notification of exhaustion |
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Section 409.68
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Inpatient deductible and coinsurance: General provisions |
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Section 409.80
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Inpatient hospital deductible |
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Section 409.82
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Inpatient hospital coinsurance |
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Section 409.83
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Skilled nursing facility (SNF) care coinsurance |
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Section 409.85
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Blood deductible |
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Section 409.87
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Exemption of kidney donors from deductible and coinsurance requirements |
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Section 409.89
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To whom payment is made |
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Section 409.100
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Amounts of payment |
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Section 409.102
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Basis and scope |