[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR440.10]



[Page 235]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 440_SERVICES: GENERAL PROVISIONS--Table of Contents

 

                          Subpart A_Definitions

 

Sec. 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 Sec. 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]