Source
42 CFR § 440.140
Scoping language
Inpatient hospital services. Inpatient hospital services for individuals age 65 or older in institutions for mental diseases means services provided under the direction of a physician for the care and treatment of beneficiaries in an institution for mental diseases that meets the requirements specified in 482.60(b), (c), and (e) of this chapter and
(1) Meets the requirements for utilization review in ยง 482.30(a), (b), (d), and (e) of this chapter; or
(2) Has been granted a waiver of those utilization review requirements under section 1903(i)(4) of the Act and subpart H of part 456 of this chapter.