US · guidance
CMS Pub. 100-02, ch. 2, § 80
Benefit Limits in Psychiatric Hospitals
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.”
History
(Rev. 253, Issued: 12- 14-18, Effective: 01-16-19, Implementation: 01- 16-19)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
2c3842a4c677476b1564398c21d0cb47bf2dacd5db7bc9aff825596f7f34b2bd
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