| 42:2.0.1.2.10.1 | SUBPART A
| Subpart A - Hospital Insurance Benefits: General Provisions | |
| 42:2.0.1.2.10.1.35.1 | SECTION 409.1
| 409.1 Statutory basis. | |
| 42:2.0.1.2.10.1.35.2 | SECTION 409.2
| 409.2 Scope. | |
| 42:2.0.1.2.10.1.35.3 | SECTION 409.3
| 409.3 Definitions. | |
| 42:2.0.1.2.10.1.35.4 | SECTION 409.5
| 409.5 General description of benefits. | |
| 42:2.0.1.2.10.2 | SUBPART B
| Subpart B - Inpatient Hospital Services and Inpatient Critical Access Hospital Services | |
| 42:2.0.1.2.10.2.35.1 | SECTION 409.10
| 409.10 Included services. | |
| 42:2.0.1.2.10.2.35.2 | SECTION 409.11
| 409.11 Bed and board. | |
| 42:2.0.1.2.10.2.35.3 | SECTION 409.12
| 409.12 Nursing and related services, medical social services; use of hospital or CAH facilities. | |
| 42:2.0.1.2.10.2.35.4 | SECTION 409.13
| 409.13 Drugs and biologicals. | |
| 42:2.0.1.2.10.2.35.5 | SECTION 409.14
| 409.14 Supplies, appliances, and equipment. | |
| 42:2.0.1.2.10.2.35.6 | SECTION 409.15
| 409.15 Services furnished by an intern or a resident-in-training. | |
| 42:2.0.1.2.10.2.35.7 | SECTION 409.16
| 409.16 Other diagnostic or therapeutic services. | |
| 42:2.0.1.2.10.2.35.8 | SECTION 409.17
| 409.17 Physical therapy, occupational therapy, and speech-language pathology services. | |
| 42:2.0.1.2.10.2.35.9 | SECTION 409.18
| 409.18 Services related to kidney transplantations. | |
| 42:2.0.1.2.10.3 | SUBPART C
| Subpart C - Posthospital SNF Care | |
| 42:2.0.1.2.10.3.35.1 | SECTION 409.20
| 409.20 Coverage of services. | |
| 42:2.0.1.2.10.3.35.2 | SECTION 409.21
| 409.21 Nursing care. | |
| 42:2.0.1.2.10.3.35.3 | SECTION 409.22
| 409.22 Bed and board. | |
| 42:2.0.1.2.10.3.35.4 | SECTION 409.23
| 409.23 Physical therapy, occupational therapy, and speech-language pathology services. | |
| 42:2.0.1.2.10.3.35.5 | SECTION 409.24
| 409.24 Medical social services. | |
| 42:2.0.1.2.10.3.35.6 | SECTION 409.25
| 409.25 Drugs, biologicals, supplies, appliances, and equipment. | |
| 42:2.0.1.2.10.3.35.7 | SECTION 409.26
| 409.26 Transfer agreement hospital services. | |
| 42:2.0.1.2.10.3.35.8 | SECTION 409.27
| 409.27 Other services generally provided by (or under arrangements made by) SNFs. | |
| 42:2.0.1.2.10.4 | SUBPART D
| Subpart D - Requirements for Coverage of Posthospital SNF Care | |
| 42:2.0.1.2.10.4.35.1 | SECTION 409.30
| 409.30 Basic requirements. | |
| 42:2.0.1.2.10.4.35.2 | SECTION 409.31
| 409.31 Level of care requirement. | |
| 42:2.0.1.2.10.4.35.3 | SECTION 409.32
| 409.32 Criteria for skilled services and the need for skilled services. | |
| 42:2.0.1.2.10.4.35.4 | SECTION 409.33
| 409.33 Examples of skilled nursing and rehabilitation services. | |
| 42:2.0.1.2.10.4.35.5 | SECTION 409.34
| 409.34 Criteria for “daily basis”. | |
| 42:2.0.1.2.10.4.35.6 | SECTION 409.35
| 409.35 Criteria for “practical matter”. | |
| 42:2.0.1.2.10.4.35.7 | SECTION 409.36
| 409.36 Effect of discharge from posthospital SNF care. | |
| 42:2.0.1.2.10.5 | SUBPART E
| Subpart E - Home Health Services Under Hospital Insurance | |
| 42:2.0.1.2.10.5.35.1 | SECTION 409.40
| 409.40 Basis, purpose, and scope. | |
| 42:2.0.1.2.10.5.35.2 | SECTION 409.41
| 409.41 Requirement for payment. | |
| 42:2.0.1.2.10.5.35.3 | SECTION 409.42
| 409.42 Beneficiary qualifications for coverage of services. | |
| 42:2.0.1.2.10.5.35.4 | SECTION 409.43
| 409.43 Plan of care requirements. | |
| 42:2.0.1.2.10.5.35.5 | SECTION 409.44
| 409.44 Skilled services requirements. | |
| 42:2.0.1.2.10.5.35.6 | SECTION 409.45
| 409.45 Dependent services requirements. | |
| 42:2.0.1.2.10.5.35.7 | SECTION 409.46
| 409.46 Allowable administrative costs. | |
| 42:2.0.1.2.10.5.35.8 | SECTION 409.47
| 409.47 Place of service requirements. | |
| 42:2.0.1.2.10.5.35.9 | SECTION 409.48
| 409.48 Visits. | |
| 42:2.0.1.2.10.5.35.10 | SECTION 409.49
| 409.49 Excluded services. | |
| 42:2.0.1.2.10.5.35.11 | SECTION 409.50
| 409.50 Coinsurance for durable medical equipment (DME) and applicable disposable devices furnished as a home health service. | |
| 42:2.0.1.2.10.6 | SUBPART F
| Subpart F - Scope of Hospital Insurance Benefits | |
| 42:2.0.1.2.10.6.35.1 | SECTION 409.60
| 409.60 Benefit periods. | |
| 42:2.0.1.2.10.6.35.2 | SECTION 409.61
| 409.61 General limitations on amount of benefits. | |
| 42:2.0.1.2.10.6.35.3 | SECTION 409.62
| 409.62 Lifetime maximum on inpatient psychiatric care. | |
| 42:2.0.1.2.10.6.35.4 | SECTION 409.63
| 409.63 Reduction of inpatient psychiatric benefit days available in the initial benefit period. | |
| 42:2.0.1.2.10.6.35.5 | SECTION 409.64
| 409.64 Services that are counted toward allowable amounts. | |
| 42:2.0.1.2.10.6.35.6 | SECTION 409.65
| 409.65 Lifetime reserve days. | |
| 42:2.0.1.2.10.6.35.7 | SECTION 409.66
| 409.66 Revocation of election not to use lifetime reserve days. | |
| 42:2.0.1.2.10.6.35.8 | SECTION 409.68
| 409.68 Guarantee of payment for inpatient hospital or inpatient CAH services furnished before notification of exhaustion of benefits. | |
| 42:2.0.1.2.10.7 | SUBPART G
| Subpart G - Hospital Insurance Deductibles and Coinsurance | |
| 42:2.0.1.2.10.7.35.1 | SECTION 409.80
| 409.80 Inpatient deductible and coinsurance: General provisions. | |
| 42:2.0.1.2.10.7.35.2 | SECTION 409.82
| 409.82 Inpatient hospital deductible. | |
| 42:2.0.1.2.10.7.35.3 | SECTION 409.83
| 409.83 Inpatient hospital coinsurance. | |
| 42:2.0.1.2.10.7.35.4 | SECTION 409.85
| 409.85 Skilled nursing facility (SNF) care coinsurance. | |
| 42:2.0.1.2.10.7.35.5 | SECTION 409.87
| 409.87 Blood deductible. | |
| 42:2.0.1.2.10.7.35.6 | SECTION 409.89
| 409.89 Exemption of kidney donors from deductible and coinsurance requirements. | |
| 42:2.0.1.2.10.8 | SUBPART H
| Subpart H - Payment of Hospital Insurance Benefits | |
| 42:2.0.1.2.10.8.35.1 | SECTION 409.100
| 409.100 To whom payment is made. | |
| 42:2.0.1.2.10.8.35.2 | SECTION 409.102
| 409.102 Amounts of payment. | |