HI 00601.100 Institution's Status in Determining Reduction in Days
The status of a psychiatric hospital (or a distinct part of such a hospital) as of
the individual's first day of entitlement is controlling in determining whether days
spent there during the preceding 150 days are to be deducted. Thus, deductions would
be made for days spent in a hospital (or distinct part) which was participating as
of the individual's first day of entitlement even though it was not participating
during all or part of the preceding 150 days. However, where an institution is not
participating as of the individual's first day of entitlement, deductions would not
be made for days spent in that institution during the preceding 150 days, even though
the institution is later certified for participation as a psychiatric hospital.
Where a participating psychiatric hospital is a distinct part of an institution, deductions
are made only for days spent in the wards, floors, wings, etc., included in the participating
distinct part as of the individual's first day of entitlement, even though it was
not participating during all or part of the preceding days. Deductions are not made
for days spent in a part of the institution not included in the participating distinct
part as of the individual's first day of entitlement; e.g., days spent in a custodial
section of the institution or days spent in a general medical-surgical facility participating
as a general hospital.