§440.10. Inpatient hospital services, other than services in an institution for mental diseases.
42 C.F.R. § 440.10
Inpatient hospital services means services that—
Are ordinarily furnished in a hospital for the care and treatment of inpatients;
Are furnished under the direction of a physician or dentist; and
Are furnished in an institution that—
Is maintained primarily for the care and treatment of patients with disorders other than mental diseases;
Is licensed or formally approved as a hospital by an officially designated authority for State standard-setting;
Meets the requirements for participation in Medicare as a hospital; and
Has in effect a utilization review plan, applicable to all Medicaid patients, that meets the requirements of § 482.30 of this chapter, unless a waiver has been granted by the Secretary.
Inpatient hospital services do not include SNF and ICF services furnished by a hospital with a swing-bed approval.
Notes, amendments, and revision history
Amendments
[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]
Authority
Authority: 42 U.S.C. 1302.
Source
Source: 43 FR 45224, Sept. 29, 1978, unless otherwise noted.
Amendments
[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]