Medicare Benefit Policy Manual (Pub. 100-02), Ch. 8 § 50.7
Medical Service of an Intern or Resident-in-Training
50.7 - Medical Service of an Intern or Resident-in-Training
(Rev. 228, Issued: 10-13-16, Effective: 10-18-16, Implementation: 10-18-16)
The medical services of an intern or resident-in-training under an approved teaching
program of a hospital with which the facility has in effect the required transfer agreement
are covered under hospital insurance (see Pub. 100-01, Medicare General Information,
Eligibility, and Entitlement Manual, chapter 5, section 30.2 for a discussion of the SNF’s
required transfer agreement with a hospital).
An “approved teaching program” means a program approved by the Council on Medical
Education of the American Medical Association or, in the case of an osteopathic hospital,
approved by the Committee on Hospitals of the Bureau of Professional Education of the
American Osteopathic Association. In the case of services of an intern or resident-in-
training in the field of dentistry in a hospital or osteopathic hospital, the teaching program
must have the approval of the Council on Dental Education of the American Dental
Association.
The medical and surgical services furnished to the facility’s patients by interns and
residents-in-training of a hospital with which the facility has a transfer agreement are
covered under medical insurance if the services are not covered under hospital insurance.