§1395tt. Hospital providers of extended care services — Inbound Citations

Citations to 42 U.S.C. § 1395tt as a whole

• 42 U.S.C. § 1395i–4(f)

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  (f) Nothing in this section shall be construed to prohibit a State from designating or the Secretary from certifying a facility as a critical access hospital solely because, at the time the facility applies to the State for designation as a critical access hospital, there is in effect an agreement between the facility and the Secretary under section 1395tt of this title under which the facility’s inpatient hospital facilities are used for the provision of extended care services, so long as the total number of beds that may be used at any time for the furnishing of either such services or acute care inpatient services does not exceed 25 beds. For purposes of the previous sentence, any bed of a unit of the facility that is licensed as a distinct-part skilled nursing facility at the time the facility applies to the State for designation as a critical access hospital shall not be counted.
• 42 U.S.C. § 1395x(v)(V)

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  (V) In determining such reasonable costs for skilled nursing facilities and (beginning with respect to cost reporting periods beginning during fiscal year 2013) for covered skilled nursing services described in section 1395yy(e)(2)(A) of this title furnished by hospital providers of extended care services (as described in section 1395tt of this title), the amount of bad debts otherwise treated as allowed costs which are attributable to the coinsurance amounts under this subchapter for individuals who are entitled to benefits under part A and—

  (i) are not described in section 1396u–5(c)(6)(A)(ii) of this title shall be reduced by—

  (I) for cost reporting periods beginning on or after October 1, 2005, but before fiscal year 2013, 30 percent of such amount otherwise allowable; and

  (II) for cost reporting periods beginning during fiscal year 2013 or a subsequent fiscal year, by⁷ 35 percent of such amount otherwise allowable.

  (ii) are described in such section—

  (I) for cost reporting periods beginning on or after October 1, 2005, but before fiscal year 2013, shall not be reduced;

  (II) for cost reporting periods beginning during fiscal year 2013, shall be reduced by 12 percent of such amount otherwise allowable;

  (III) for cost reporting periods beginning during fiscal year 2014, shall be reduced by 24 percent of such amount otherwise allowable; and

  (IV) for cost reporting periods beginning during a subsequent fiscal year, shall be reduced by 35 percent of such amount otherwise allowable.
• 42 U.S.C. § 1395yy(e)(7)(B)

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  (B) The facilities described in this subparagraph are facilities that have in effect an agreement described in section 1395tt of this title.
• 42 U.S.C. § 1395yy(e)(7)(C)

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  (C) The prospective payment system established under this subsection shall not apply to services furnished by a critical access hospital pursuant to an agreement under section 1395tt of this title.
• 42 U.S.C. § 1396l(a)

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  (a) Notwithstanding any other provision of this subchapter, payment may be made, in accordance with this section, under a State plan approved under this subchapter for nursing facility services furnished by a hospital which has in effect an agreement under section 1395tt of this title and which, with respect to the provision of such services, meets the requirements of subsections (b) through (d) of section 1396r of this title.
• 42 U.S.C. § 1396l(b)(2)

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  (2) With respect to any period for which a hospital has an agreement under section 1395tt of this title, in order to allocate routine costs between hospital and long-term care services, the total reimbursement for routine services due from all classes of long-term care patients (including subchapter XVIII, this subchapter, and private pay patients) shall be subtracted from the hospital total routine costs before calculations are made to determine reimbursement for routine hospital services under the State plan.