US · guidance
CMS Pub. 100-01, ch. 5, § 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.
History
(Rev. 1, 09-11-02)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
c0e1b2da13fef503a89415b532cba4f38bfa5643b51502dd23a92239dbae85cd
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