[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: 42CFR485.647]



[Page 629]

 

                         TITLE 42--PUBLIC HEALTH

 

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

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 485_CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS--Table of 

 

 Subpart F_Conditions of Participation: Critical Access Hospitals (CAHs)

 

Sec.  485.647  Condition of participation: psychiatric and 



rehabilitation distinct part units.



    (a) Conditions. (1) If a CAH provides inpatient psychiatric services 

in a distinct part unit, the services furnished by the distinct part 

unit must comply with the hospital requirements specified in Subparts A, 

B, C, and D of Part 482 of this subchapter, the common requirements of 

Sec.  412.25(a)(2) through (f) of Part 412 of this chapter for hospital 

units excluded from the prospective payment systems, and the additional 

requirements of Sec.  412.27 of Part 412 of this chapter for excluded 

psychiatric units.

    (2) If a CAH provides inpatient rehabilitation services in a 

distinct part unit, the services furnished by the distinct part unit 

must comply with the hospital requirements specified in Subparts A, B, 

C, and D of Part 482 of this subchapter, the common requirements of 

Sec.  412.25(a)(2) through (f) of Part 412 of this chapter for hospital 

units excluded from the prospective payments systems, and the additional 

requirements of Sec. Sec.  412.29 and Sec.  412.30 of Part 412 of this 

chapter related specifically to rehabilitation units.

    (b) Eligibility requirements. (1) To be eligible to receive Medicare 

payments for psychiatric or rehabilitation services as a distinct part 

unit, the facility provides no more than 10 beds in the distinct part 

unit.

    (2) The beds in the distinct part are excluded from the 25 

inpatient-bed count limit specified in Sec.  485.620(a).

    (3) The average annual 96-hour length of stay requirement specified 

under Sec.  485.620(b) does not apply to the 10 beds in the distinct 

part units specified in paragraph (b)(1) of this section, and admissions 

and days of inpatient care in the distinct part units are not taken into 

account in determining the CAH's compliance with the limits on the 

number of beds and length of stay in Sec.  485.620.



[69 FR 49272, Aug. 11, 2004]



Subpart G [Reserved]