| Administrative law - 1971 - 694 pages
...example, a television set, or telephone service, etc.) ; (k) Which are not reasonable and necessary for the diagnosis or treatment of illness or injury...improve the functioning of a malformed body member (thus, payment could not be made for the rental of a special hospital bed to be used by an individual... | |
| Administrative law - 1984 - 1084 pages
...that are not reasonable and necessary for one of the following purposes: (1) For the diagnosis and treatment of illness or injury or to improve the functioning of a malformed body member. (2) In the case of hospice services. for the palliation or management of terminal illness, as provided... | |
| Administrative law - 2001 - 1056 pages
...services. (k) Any services that are not reasonable and necessary for one of the following purposes: (1) For the diagnosis or treatment of illness or injury or to improve the 1 Before July 1981. inpatient hospital care in connection with dental procedures was covered only when... | |
| Administrative law - 1982 - 964 pages
...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 Title 42— Public Heal* functioning of a malformed bod; member (§ 405.310(k)), if: ( 1 ) Such items... | |
| United States. Congress. Senate. Special Committee on Aging - Legislative hearings - 1965 - 344 pages
...for payment of services under health insurance programs). "(1) which are not reasonable and necessary for the diagnosis or treatment of illness or injury...improve the functioning of a malformed body member; "(3) which are paid for directly or indirectly by a governmental entity (other than under this Act... | |
| United States. Congress. Senate. Special Committee on Aging - 1965 - 76 pages
...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...improve the functioning of a malformed body member j " (2) for which the individual furnished such items or services has no legal obligati6n to pay, and... | |
| United States. Congress. Senate. Committee on Finance - Health insurance - 1965 - 556 pages
...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...improve the functioning of a malformed body member; "(2) for which the individual furnished such items or services has no legal obligation to pay, and... | |
| United States - Public health laws - 1966 - 556 pages
...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...improve the functioning of a malformed body member; (2) for which the individual furnished such items or services has no legal obligation to pay, and which... | |
| United States. Congress. House Interstate and Foreign Commerce - 1966 - 574 pages
...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...improve the functioning of a malformed body member; (2) for which the individual furnished such items or services has no legal obligation to pay, and which... | |
| Social security - 1966 - 484 pages
...supplementary medical benefits may be paid for services which: A. Are not reasonable and necessary for the treatment of illness or injury or to improve the functioning of a malformed body member; or B. Neither the patient nor any other party (such as a prepayment plan) has a legal obligation to... | |
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