Benefit Limits in Psychiatric Hospitals

80 - Benefit Limits in Psychiatric Hospitals (Rev. 253, Issued: 12- 14-18, Effective: 01-16-19, Implementation: 01- 16-19) The psychiatric benefit application (190 days) applies to freestanding psychiatric hospitals per 42 CFR 409.62. The 190-lifetime limitation does not apply to certified psychiatric distinct part units. Section 409.62 states, “There is a lifetime maximum of 190 days on inpatient psychiatric hospital services available to any beneficiary. Therefore, once an individual receives benefits for 190 days of care in a psychiatric hospital, no further benefits of that type are available to that individual.”