Section |
|
Latest Transmittal |
HI 00601.001 |
Scope of Benefits |
TN 5 10-22 |
HI 00601.005 |
Covered Part A Inpatient Hospital Services |
TN 10 02-23 |
HI 00601.010 |
Hospital Inpatient Services - Coverage Guidelines |
TN 5 10-22 |
HI 00601.015 |
Bed and Board |
TN 10 02-23 |
HI 00601.020 |
Nursing and Other Services |
TN 5 10-22 |
HI 00601.025 |
Drugs and Biologicals |
TN 5 10-22 |
HI 00601.030 |
Supplies, Appliances and Equipment |
TN 5 10-22 |
HI 00601.035 |
Other Diagnostic or Therapeutic Items or Services |
TN 5 10-22 |
HI 00601.040 |
Services of Interns or Residents-in-Training |
|
HI 00601.045 |
Inpatient Services in Connection with Dental Services |
|
HI 00601.050 |
Therapy Services |
TN 5 10-22 |
HI 00601.055 |
Inpatient Hospital Services Counting Toward Maximums |
|
HI 00601.060 |
Guarantee of Payment for Inpatient Hospital Service |
TN 5 10-22 |
HI 00601.065 |
Lifetime Reserve Days |
TN 6 10-22 |
HI 00601.070 |
Inpatient Day Defined |
|
HI 00601.075 |
Late Discharge |
TN 6 10-22 |
HI 00601.080 |
Leaves of Absence |
TN 6 10-22 |
HI 00601.085 |
Discharge or Death on First Day of Entitlement or Participation |
TN 6 10-22 |
HI 00601.090 |
Limitation on Inpatient Psychiatric Benefits in Initial Benefit Period |
TN 10 02-23 |
HI 00601.095 |
Patient's Status in Applying Reduction |
TN 6 10-22 |
HI 00601.100 |
Institution's Status in Determining Reduction in Days |
|
HI 00601.105 |
Counting Days of Admission, Discharge, and Leave in Reducing Days |
|
HI 00601.110 |
Inpatient Psychiatric Hospital Services—Lifetime Limitation |
|
HI 00601.115 |
Inpatient Service Days Counting Toward Maximums |
|
Extended Care Services—Coverage
|
HI 00601.120 |
Coverage of Extended Care Services |
|
HI 00601.125 |
SNF Coverage Guidelines |
TN 6 10-22 |
HI 00601.130 |
Prior Hospitalization and Transfer Requirements |
TN 6 10-22 |
HI 00601.135 |
Covered Level of Care |
TN 6 10-22 |
HI 00601.140 |
Daily Skilled Service |
TN 6 10-22 |
HI 00601.145 |
Skilled Nursing Services |
|
HI 00601.150 |
Nonskilled Nursing Services |
|
HI 00601.155 |
Questionable Situations |
|
HI 00601.160 |
Physical Therapy as Basis for Extended Care |
|
HI 00601.165 |
Other Rehabilitation Service as a Basis for Extended Care |
|
HI 00601.170 |
Need Satisfied Only by SNF Inpatient Care |
|
HI 00601.175 |
Covered Extended Care Services |
TN 7 10-22 |
HI 00601.180 |
Nursing Care Provided by or Under the Supervision of a Registered Professional Nurse |
TN 7 10-22 |
HI 00601.185 |
Bed and Board in Semi-Private Accommodations Furnished in Connection With Nursing
Care
|
|
HI 00601.190 |
Physical, Speech and Occupational Therapy Furnished by the SNF or by Others Under
Arrangements with the SNF and Under Its Supervision
|
|
HI 00601.195 |
Medical Social Services |
TN 7 10-22 |
HI 00601.200 |
Drugs and Biologicals |
TN 7 10-22 |
HI 00601.205 |
Supplies, Appliances and Equipment |
TN 7 10-22 |
HI 00601.210 |
Medical Services of an Intern or Resident-in-Training |
|
HI 00601.220 |
Other Diagnostic or Therapeutic Services Provided by a Hospital |
|
HI 00601.230 |
Other Services |
|
HI 00601.270 |
Extended Care Benefit Days |
TN 7 10-22 |
HI 00601.280 |
Inpatient Extended Care Services Counting Toward Maximums |
|
HI 00601.290 |
Covered Hospice Services |
TN 7 10-22 |
HI 00601.295 |
Hospice Care - Requirements for Coverage |
TN 10 02-23 |
HI 00601.300 |
Home Health Services |
TN 7 10-22 |
HI 00601.310 |
HHA Coverage—Discussion Guidelines |
TN 7 10-22 |
Covered Services
|
HI 00601.320 |
Nursing Care |
|
HI 00601.330 |
Definition of “Intermittent” |
|
HI 00601.340 |
When Skilled Nursing Care is Reimbursable |
TN 8 10-22 |
HI 00601.350 |
Skilled Nursing Services—Examples |
TN 10 02-23 |
HI 00601.360 |
Student Nurses |
TN 8 10-22 |
HI 00601.370 |
Psychiatric Nursing |
TN 8 10-22 |
HI 00601.380 |
Physical, Speech and Occupational Therapy Furnished by an HHA or by Others Under Arrangements
With the HHA and Under its Supervision
|
|
Other Home Health Services
|
HI 00601.390 |
Medical Social Services |
|
HI 00601.400 |
Services of a Home Health Aide |
TN 8 10-22 |
HI 00601.410 |
Medical Supplies (Except for Drugs and Biologicals) and the Use of Medical Appliances |
TN 8 10-22 |
HI 00601.420 |
Services of Interns and Residents |
|
HI 00601.430 |
Outpatient Services |
TN 8 10-22 |
HI 00601.440 |
Part Time or Intermittent Services |
TN 8 10-22 |
HI 00601.450 |
Counting Visits Under the Hospital and Medical Plans |
TN 8 10-22 |
HHA Exclusions
|
HI 00601.460 |
Specific Exclusions from Coverage as Home Health Services |
|
HI 00601.470 |
Special Conditions for Coverage of Home Health Services Under Hospital Insurance (Part
A)
|
TN 8 10-22 |
HI 00601.480 |
Fourteen Day Limit on Plan Establishment |
TN 9 10-22 |
HI 00601.490 |
Related Illness or Impairment |
TN 9 10-22 |
HI 00601.500 |
Transfer of Patient |
|
HI 00601.510 |
Duration of Home Health Services Under Hospital Insurance |
TN 9 10-22 |
HI 00601.520 |
Presumption of Coverage |
|
HI 00601.550 |
Inpatient Hospital Deductible |
TN 4 01-20 |
HI 00601.560 |
Inpatient Hospital Coinsurance |
TN 9 10-22 |
HI 00601.570 |
Extended Care Coinsurance |
TN 4 01-20 |
HI 00601.575 |
Basis for Determining the Coinsurance Amounts |
|
HI 00601.580 |
Part A Blood Deductible |
TN 10 02-23 |
Provider Cost Limits
|
HI 00601.590 |
Background |
|
HI 00601.600 |
Provider Charges to Beneficiaries for Excess Costs |
TN 9 10-22 |
HI 00601.610 |
Determining Emergency Services |
TN 9 10-22 |
HI 00601.620 |
District Office Role |
TN 9 10-22 |