[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

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

[CITE: 42CFR482.66]



[Page 517-518]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 482_CONDITIONS OF PARTICIPATION FOR HOSPITALS--Table of Contents

 

             Subpart E_Requirements for Specialty Hospitals

 

Sec.  482.66  Special requirements for hospital providers of long-term 



care services (``swing-beds'').



    A hospital that has a Medicare provider agreement must meet the 

following requirements in order to be granted an approval from CMS to 

provide post-hospital extended care services, as specified in Sec.  

409.30 of this chapter, and be reimbursed as a swing-bed hospital, as 

specified in Sec.  413.114 of this chapter:

    (a) Eligibility. A hospital must meet the following eligibility 

requirements:

    (1) The facility has fewer than 100 hospital beds, excluding beds 

for newborns and beds in intensive care type inpatient units (for 

eligibility of hospitals with distinct parts electing the optional 

reimbursement method, see Sec.  413.24(d)(5) of this chapter).



[[Page 518]]



    (2) The hospital is located in a rural area. This includes all areas 

not delineated as ``urbanized'' areas by the Census Bureau, based on the 

most recent census.

    (3) The hospital does not have in effect a 24-hour nursing waiver 

granted under Sec.  488.54(c) of this chapter.

    (4) The hospital has not had a swing-bed approval terminated within 

the two years previous to application.

    (b) Skilled nursing facility services. The facility is substantially 

in compliance with the following skilled nursing facility requirements 

contained in subpart B of part 483 of this chapter.

    (1) Resident rights (Sec.  483.10 (b)(3), (b)(4), (b)(5), (b)(6), 

(d), (e), (h), (i), (j)(1)(vii), (j)(1)(viii), (l), and (m)).

    (2) Admission, transfer, and discharge rights (Sec.  483.12 (a)(1), 

(a)(2), (a)(3), (a)(4), (a)(5), (a)(6), and (a)(7)).

    (3) Resident behavior and facility practices (Sec.  483.13).

    (4) Patient activities (Sec.  483.15(f)).

    (5) Social services (Sec.  483.15(g)).

    (6) Discharge planning (Sec.  483.20(e)).

    (7) Specialized rehabilitative services (Sec.  483.45).

    (8) Dental services (Sec.  483.55).



[51 FR 22042, June 17, 1986; 51 FR 27848, Aug. 4, 1986, as amended at 51 

FR 34833, Sept. 30, 1986; 54 FR 37275, Sept. 7, 1989; 56 FR 54546, Oct. 

22, 1991; 59 FR 45403, Sept. 1, 1994; 65 FR 47052, Aug. 1, 2000]