 | Administrative law - 1983 - 1040 pages
...services furnished after October 30, 1972, which involve custodial care (§ 405.310(g)) or items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member (§ 405.310(k)). if: (1) Such items or services... | |
 | Administrative law - 1979 - 848 pages
...services furnished after October 30, 1972, which involve custodial care (§ 405.310(g)) or Items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member (§ 405.310(k)), if: (1) Such items or services... | |
 | Administrative law - 1975 - 1116 pages
...services furnished after October 30, 1972, which involve custodial care (§405.310(g) ) or items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member (§405.310 (k)), if: (1) Such items or services... | |
 | Administrative law - 1971 - 694 pages
...Personal comfort items and services (for example, a television set, or telephone service, etc.) ; (k) Which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member (thus, payment could not be made for the rental... | |
 | Administrative law - 1989 - 784 pages
...Would not be covered as an inpatient hospital service if furnished to a hospital inpatient; (b) Is not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. An example would be services furnished as... | |
 | Administrative law - 2000 - 1216 pages
...Part A benefits, if HCFA reimburses the provider for those services. (d) Custodial care and services not reasonable and necessary for the diagnosis or treatment of illness or injury, if— (1) The beneficiary was without fault in incurring the expenses; and (2) The determination that... | |
 | Administrative law - 2000 - 992 pages
...service for which the Medicare or Medicald program may pay. Covered means that a service is described as reasonable and necessary for the diagnosis or treatment of illness or Injury or to Improve the functioning of a malformed body member. A service is not covered If it is specifically... | |
 | United States. Congress. Senate. Special Committee on Aging - 1965 - 76 pages
...payment may be made under part A or part B for any expenses incurred for items or services — "(1) which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member j " (2) for which the individual furnished... | |
 | United States. Congress. Senate. Committee on Finance - Health insurance - 1965 - 556 pages
...payment may be made under part A or part B for any expenses incurred for items or services — "(1) which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member; "(2) for which the individual furnished such... | |
 | United States. Congress. Senate. Special Committee on Aging - Legislative hearings - 1965 - 344 pages
...Secretary must impose like conditions for payment of services under health insurance programs). "(1) which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member; "(3) which are paid for directly or indirectly... | |
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B for any expenses incurred for items or services — (1) which are not reasonable and necessary for -the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member... 
