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Program Operations Manual System (POMS)
Effective Dates: 12/16/2023 - Present
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HI 00401.000 Provider and Related Definitions
Subchapter Table of Contents
Section
Latest
Transmittal
HI 00401.200
Providers of Services
TN 1 10-22
HI 00401.205
Reasonable Cost Reimbursement
TN 2 12-23
HI 00401.210
Under Arrangements
TN 2 12-23
HI 00401.215
Termination of Provider Participation
HI 00401.220
Services After Termination
Hospital
HI 00401.225
Hospital Defined
HI 00401.230
PPSDefinition of Emergency Services Hospital
TN 3 12-23
HI 00401.240
Psychiatric Hospital
HI 00401.245
Certification of Parts of Institutions as Hospitals
Rural Health Clinic
HI 00401.250
Rural Health Clinic (RHC) Defined
HI 00401.255
Rural Health Clinic Services
TN 1 10-22
Comprehensive Outpatient Rehabilitation Facility (CORF)
HI 00401.257
Comprehensive Outpatient Rehabilitation Facility (CORF) Defined
Skilled Nursing Facility
HI 00401.260
Skilled Nursing Facility (SNF) Defined
HI 00401.265
Distinct Part of an Institution as a Skilled Nursing Facility (SNF)
HI 00401.270
Transfer Agreements
HI 00401.275
Christian Science Sanatorium
Hospice
HI 00401.277
Hospice Defined
Home Health Agency
HI 00401.280
Home Health Agency (HHA) Defined
HI 00401.285
Arrangements by HHA's
TN 1 10-22
HI 00401.290
Rehabilitation Centers
HI 00401.295
Physician Defined
TN 1 10-22
HI 00401.300
Physical Therapists in Independent Practice
TN 1 10-22
Reasonable Charge
HI 00401.305
Reasonable Charge
HI 00401.310
Criteria for Determining a Reasonable Charge
HI 00401.315
The Customary Charge
TN 1 10-22
HI 00401.320
Determining The Prevailing Charge
TN 1 10-22
HI 00401.325
Effect of Waiver of Coinsurance or Deductible on Determination of Actual and Customary Charges
TN 1 10-22
HI 00401.330
Negotiated Rates for Laboratory Services
HI 00401.335
Reasonable Charge Screens for Injections
TN 1 10-22
HI 00401.340
Benefit Period
TN 1 10-22
HI 00401.345
Examples of Benefit Period
TN 1 10-22
To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0600401000
HI 00401.000 - Provider and Related Definitions - Table of Contents - 12/16/2023
Batch run:
12/16/2023
Rev:
12/16/2023