{"data":{"id":"us/42-cfr-440.140","jurisdiction":"us","citation":"42 CFR 440.140","heading":"Inpatient hospital services, nursing facility services, and intermediate care facility services for individuals age 65 or older in institutions for mental diseases.","body":"(a) 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—\n(1) Meets the requirements for utilization review in § 482.30(a), (b), (d), and (e) of this chapter; or\n(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.\n(b) Nursing facility services. “Nursing facility services for individuals age 65 or older in institutions for mental diseases” means nursing facility services as defined in § 440.40 and in subpart B of part 483 of this chapter that are provided in institutions for mental diseases, as defined in § 435.1010 of this chapter.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 440—SERVICES: GENERAL PROVISIONS","Subpart A—Definitions"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"77a053b8d9251490e109a758fbb1e7bacb01b686962c8bc2f7336a5173b0c044","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-440.130","next":"us/42-cfr-440.150"},"notice":"GroundRules: Original legal text. Not legal advice."}