---
kind: "section"
citation: "42 C.F.R. § 409.10"
title: "42"
number: "409.10"
heading: "Included services."
url: "https://uscodex.org/cfr/42/409.10"
---

# §409.10. Included services.

- (a) Subject to the conditions, limitations, and exceptions set forth in this subpart, the term “inpatient hospital or inpatient CAH services” means the following services furnished to an inpatient of a participating hospital or of a participating CAH or, in the case of emergency services or services in foreign hospitals, to an inpatient of a qualified hospital:
  - (1) **Bed and board.**
  - (2) **Nursing services and other related services.**
  - (3) **Use of hospital or CAH facilities.**
  - (4) **Medical social services.**
  - (5) **Drugs, biologicals, supplies, appliances, and equipment.**
  - (6) **Certain other diagnostic or therapeutic services.**
  - (7) **Medical or surgical services provided by certain interns or residents-in-training.**
  - (8) **Transportation services, including transport by ambulance.**
- (b) **Inpatient hospital services—** does not include the following types of services:
  - (1) Posthospital SNF care, as described in [§ 409.20](/cfr/42/409.20.md), furnished by a hospital or a critical access hospital that has a swing-bed approval.
  - (2) Nursing facility services, described in [§ 440.155](/cfr/42/440.155.md) of this chapter, that may be furnished as a Medicaid service under title XIX of the Act in a swing-bed hospital that has an approval to furnish nursing facility services.
  - (3) Physician services that meet the requirements of [§ 415.102(a)](/cfr/42/415.102.md?p=a) of this chapter for payment on a fee schedule basis.
  - (4) **Physician assistant services, as defined in section 1861(s)(2)(K)(i) of the Act.**
  - (5) Nurse practitioner and clinical nurse specialist services, as defined in [section 1861(s)(2)(K)(ii)](/cfr/42/1861.md?p=s-2-K-ii) of the Act.
  - (6) **Certified nurse mid-wife services, as defined in section 1861(gg) of the Act.**
  - (7) **Qualified psychologist services, as defined in section 1861(ii) of the Act.**
  - (8) Services of an anesthetist, as defined in [§ 410.69](/cfr/42/410.69.md)

## Notes

### Amendments

[48 FR 12541, Mar. 25, 1983, as amended at 50 FR 33033, Aug. 16, 1985; 58 FR 30666, May 26, 1993; 64 FR 3648, Jan. 25, 1999; 65 FR 18535, Apr. 7, 2000]

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 48 FR 12541, Mar. 25, 1983, unless otherwise noted.

### Amendments

[48 FR 12541, Mar. 25, 1983, as amended at 50 FR 33033, Aug. 16, 1985; 58 FR 30666, May 26, 1993; 64 FR 3648, Jan. 25, 1999; 65 FR 18535, Apr. 7, 2000]