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" Notwithstanding any other provisions of this title, no payment may be made under part A or part B for any expenses incurred for items or services — (1) which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to... "
The Code of Federal Regulations of the United States of America - Page 241
1994
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Code of Federal Regulations: Containing a Codification of Documents of ...

Administrative law - 1997 - 780 pages
...potential impact of the home situation on the rehabilitation goals. [51 FR 41339. Nov. 14, 1986; 52 FR 4499. Feb. 12, 1987] §410.102 Excluded services....require the skilled services of nurses or therapists. §410.105 Requirements for coverage of CORF services. Services specified in §410.100 and not excluded...
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Code of Federal Regulations: Containing a Codification of Documents of ...

Administrative law - 1988 - 866 pages
...potential impact of the home situation on the rehabilitation goals. [51 FR 41339. Nov. 14. 1986: 52 PR Feb. 12, 1987] § 410.102 Excluded services. None...require the skilled services of nurses or therapists. § 410.105 Requirements for coverage of CORF services. Services specified in § 410.100 and not excluded...
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The Code of Federal Regulations of the United States of America

Administrative law - 1985 - 780 pages
...FR 56291, Dec. 15. 1982] § 405.261 Excluded services. None of the services specified in § 405.260 is covered as a CORF service if the service— (a)...require the skilled services of nurses or therapists. [47 FR 56292. Dec. 15. 1982] § 405.262 Requirements for coverage of CORF services. Services specified...
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Code of Federal Regulations: Containing a Codification of Documents of ...

Administrative law - 1999 - 946 pages
...situation on the rehabilitation goals. [51 PR 41339. Nov. 14, 1986; 52 FR 4499, Feb. 12, 1987] UlO.102 Excluded services. None of the services specified...body member. An example would be services furnished 18 part of a maintenance program involving repetitive activities that do not require the skilled services...
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Code of Federal Regulations: Containing a Codification of Documents of ...

Administrative law - 1990 - 1086 pages
...I 410.100 is covered as a CORP service if the service— (a) Would not be covered as an in patient hospital service if furnished to a hospital inpatient;...require the skilled services of nurses or therapists. §410.105 Requirements for coverage of CORF services. Services specified in 1 410.100 and not excluded...
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Code of Federal Regulations: Containing a Codification of Documents of ...

Administrative law - 1977 - 920 pages
...after October 30, 1972, which involve custodial care (§405.310(g)) or items or services which are not reasonable and necessary for the diagnosis or...improve the functioning of a malformed body member (§ 405.310(k», if: (1) Such items or services were furnished by a provider of services (see § 405.605),...
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Code of Federal Regulations: Containing a Codification of Documents of ...

Administrative law - 1975 - 1116 pages
...comfort items and senices (for example a television set, or telephone service, etc.) ; (k) Which are not reasonable and necessary for the diagnosis or...improve the functioning of a malformed body member (thus, payment could not be made for the rental of a special hospital bed to be used by an Individual...
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Code of Federal Regulations: Containing a Codification of Documents of ...

Administrative law - 2000 - 992 pages
...service for which the Medicare or Medicald program may pay. Covered means that a service is described as reasonable and necessary for the diagnosis or treatment...Improve the functioning of a malformed body member. A service is not covered If it is specifically identified as excluded from Medicare Part В coverage...
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The Code of Federal Regulations of the United States of America

Administrative law - 1984 - 1084 pages
...that are not reasonable and necessary for one of the following purposes: (1) For the diagnosis and treatment of illness or injury or to improve the functioning of a malformed body member. (2) In the case of hospice services. for the palliation or management of terminal illness, as provided...
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Code of Federal Regulations: Containing a Codification of Documents of ...

Administrative law - 2001 - 1056 pages
...services. (k) Any services that are not reasonable and necessary for one of the following purposes: (1) For the diagnosis or treatment of illness or injury or to improve the 1 Before July 1981. inpatient hospital care in connection with dental procedures was covered only when...
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