Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 5 § 10.1.7
Hospitals Participating in State Reimbursement Control
10.1.7 - Hospitals Participating in State Reimbursement Control
Systems or Demonstration Projects
(Rev. 1, 09-11-02)
This section is a further explanation of §10.1.1.
A hospital receiving payment for a covered hospital stay under:
•
Either a State reimbursement control system approved under 1886 (c) of the Act;
or
•
A demonstration project authorized under section 402(a) of Pub. L. 90 - 248 (42
U.S.C. 1395b - 1) or section 222(a) of Pub. L. 92 - 603 (42 U.S.C.1395b - 1
(NOTE)); and
•
Would otherwise be subject to the prospective payment system set forth in part
412 of this chapter, may also charge a beneficiary for custodial care and medically
unnecessary services described in CFR CUR 412.42(c), after the conditions of
412.42(c)(1) through(c)(4) are met.