Page:United States Statutes at Large Volume 101 Part 2.djvu/835

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-41

Sec. 4074. Coverage of social worker services furnished by a health maintenance organization to its members. Sec. 4075. Clarification of coverage of drugs used in immunosuppressive therapy. Sec. 4076. Services of a physician assistant. Sec. 4077. Psychologist services in clinics. Sec. 4078. Provision of offsite comprehensive outpatient rehabilitation services. Sec. 4079. Demonstration projects to provide payment on a prepaid, capitated basis for community nursing and ambulatory care furnished to medicare beneficiaries. Sec. 4080. Part B premium. , v; ^< SUBPART D—OTHER PROVISIONS

Sec. Sec. Sec. Sec. Sec.

4081. 4082. 4083. 4084. 4085.

Submission of claims to supplemental insurance carriers. Revision of part B hearings. Provisions relating to Physician Payment Review Commission. Technical amendments related to certified registered nurse anesthetists. Miscellaneous and technical provisions. PART 4—PEER REVIEW ORGANIZATIONS

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Sec. 4091. Contract provisions. Sec. 4092. Preference in contracting with in-State organizations. Sec. 4093. Requiring reasonable notice and opportunity for discussion prior to denial of claim. Sec. 4094. Peer '^ review norms and education. Sec. 4095. Preexclusion hearings. Sec. 4096. Limitation of beneficiary liability for services disallowed by peer review organizations. Sec. 4097. Separate funding levels. Subtitle B—Medicaid PART 1—ELIGIBILITY AND BENEFITS

Sec. Sec. Sec. Sec.

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4101. 4102. 4103. 4104.

Medicaid benefits for poor children and pregnant women. Home and community-based services for the elderly. Physicians' services furnished by dentists. Optional medicaid coverage of individuals in certain States '* receiving only optional State '* supplementary payments. Sec. 4105. Miscellaneous SSI-related amendments. Sec. 4106. Clarification of coverage of clinic services furnished to homeless outside facility. Sec. 4107. Medically needy income levels for certain 2-member couples in California.' * PART 2—OTHER PROVISIONS

Sec. 4111. Increasing the maximum annual medicaid payments that may be made to the commonwealths and territories. Sec. 4112. Adjustment in medicaid payment for inpatient hospital services furnished by disproportionate share hospitals. Sec. 4113. HMO-related provisions. Sec. 4114. Medicaid waiver for hospice care for AIDS patients. Sec. 4115. State demonstration projects. Sec. 4116. Waiver authority under the medicaid program for the Northern Mariana Islands.' * Sec. 4117. Delay quality control sanctions for medicaid. Sec. 4118. Technical and miscellaneous amendments. Subtitle C—Nursing Home Reform PART 1—MEDICARE PROGRAM

Sec. Sec. Sec. Sec. Sec. Sec.

4201. 4202. 4203. 4204. 4205. 4206.

Requirements for skilled nursing facilities. Survey and certification process. Enforcement process. Effective dates. Annual report. Construction.

'Copy read "reer". '* Copy read "states", and "state", respectively. '*Copy read "California.". ' * Copy read "northern mariana islands.".

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