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H

Handicapped; social services: 2002(a)(2)(A)

Hawaii; payment to hospital: 1886(d)(5)(H)

Health and Safety Requirements

• Child care: 402(g)(4)

• Comprehensive outpatient rehabilitation facility: 1861(cc)(2)(I)

• Hospital: 1861(e)(end)(A), (e)(end)(B), (s)(end)

• Skilled nursing facility: 1866(f)(1)

Health Care

• Economical: 1156(a)(1)

• Exclusion: 1128A(a)

• Facility: 1156(a); 1157(c)

• Medically improper or unnecessary: 1156(b)(3)

• Medically necessary: 1156(a)(3)

• Norms

• Contract requirements: 1153(c)(7)

• Liability: 1157(c)

• Peer review: 1154(a)(6)(A)

• Peer review organization: 1156(c)

• Practitioner: 1156(a)

• Research: 1143

• Services: 1156(a)(1), (a)(3), (b)(3); 2002(a)(2)(A)

• Standards: 1128(b)(10)(B); 1156(a)(2)

• Violation of obligation: 1156(b)

Health insuring organization: 1903(m)(2)

Health Maintenance Organization

• Contracts: 1903(k), (m)(2)(A)(ix), (m)(2)(A)(xi), (m)(2)(F)

• Definition: 1876(b)(1); 1903(g)(1), (m)(1)

• Medical assistance: 1902(p)(2); 1925(b)(4)(D)

• Penalty: 1128A(b); 1903(m)(5)

• Reporting requirement: 1903(m)(4)

• Reporting system: 1121

• Services: 1916(a)(2)(D), (b)(2)(D)

See   Eligible Organization

Health Plan

See   Group health plan

Hearing

• Beneficiary by Secretary HHS: 1137(d)(5); 1155

• Carrier by Secretary HHS: 1842(b)(5)

• Claimant by carrier: 1842(b)(3)(C)

• Claimant by State or State agency: 2(a)(4); 6(a)(5); 303(a)(3); 471(a)(12); 475(5)(C); 1002(a)(4); 1006(5); 1122(b)(3); 1402(a)(4); 1405(5); 1602(a)(4)*; 1605(a)(end)(E)*; 1902(a)(3)

• Claimant’s representative by Secretary HHS: 206(a)(1); 1631(d)(2)

• Decision: 1631(c)(3)

• Earnings record revision: 205(c)(7)

• Effect on application: 223(b)

• Eligible organization to aggrieved: 1876(c)(5)

• Entity by Secretary HHS: 1128(f)

• Evidence: 205(b)(2)

• Expediting: 1869(b)(5)

• HMO enrollee: 1876(c)(5)(B)

• Hospital by Secretary HHS; transitional allowance: 1884(d)

• Individual by Secretary HHS: 1128(f); 1128A(c)(2); 1156(b)(4)

• Intermediate care facility by State: 1922(b)(1)

• Medicare Geographical Classification Review Board: 1886(d)(10)(E)

• Misconduct: 1128A(c)(4)

• Nurse aide: 1919(g)(1)(C)

• Nursing facility: 1919(h)(8)

• Oath or affirmation: 1874(c)

• Practitioner by Secretary HHS: 1156(b)(4), (b)(5)

• Provider by Secretary HHS: 1155; 1816(e)(3)(B), (g)(2); 1866(f)(2), (h)

• Provider by State; overpayment: 1885(b)(1)

• Renal dialysis facility: 1881(g)(3)

• State by Secretary HHS: 4; 404(a); 506(b)(2), (b)(3); 1004; 1116(a)(2); 1404; 1604*; 1904

• State by Secretary of Labor: 303(b), (e)(3), (h)

• Subpena authority: 205(d); 1631(d)(1); 1918

• Survivor by State: 1917(a)(1)(B)(ii)

• Travel expenses; attendants: 201(j); 1631(h); 1817(i)

Hearing Aid: 1862(a)(7)

Heating

See   Home Energy

Hemophilia: 501(b)(1)(C); 502(a)(1)

Hiss Act: 202(u)

Home

• Maintenance and management: 2002(a)(2)(A)

• Repair: 1119

• Resource exclusion: 1631(a)(1)

Home and Community Care

• General: 1929

• Payment: 1902(a)(13)(F)

• State plan: 1905(a)(23)

Home Energy

• Block grant: 2002(d)

• Income exclusion: 1612(b)(13)

• Regulations: 1612(b)(13)

Home Health Agency

• Bonding of employees: 1861(o)(7)

• Certification; physician owner: 1814(a)(end); 1835(a)(end)

• Compliance with requirements: 1864(a)

• Conditions of participation: 1891(a)

• Consultative services by State: 1902(a)(24)

• Definition: 1861(o)

• Durable medical equipment: 1814(k)

• Escrow accounts: 1861(o)(7)

• Financial security measures: 1861(o)(7)

• Payment: 1834(a)(1)(C), (a)(13)

• Penalty: 1891(e)(3), (f)(2)

• Reasonable cost: 1861(v)(1)(H)

• Regional organization: 1816(e)(4)

• Reporting system: 1121

• Survey: 1891(c)

Homeless; supplemental security income: 1611(e)(1)(D)

Home produce: 1612(b)(8)

Home Worker

• Definition: 210(j)(3)(C)

• Employee: 210(j)(3)(C)

• Exclusion from wages: 209(a)(8)

Hospice Care

• Appliance; medical: 1861(dd)(1)(E)

• Arrangements: 1861(w)(1), (dd)(1)

• Biologicals: 1813(a)(4)(A); 1861(dd)(1)(E)

• Cap amount: 1814(i)(2)

• Charity care: 1861(dd)(2)(D)

• Coinsurance: 1813(a)(4)

• Comfort; personal -items: 1862(a)(6)

• Compliance: 1864(a)

• Counseling: 1814(i)(1); 1861(dd)(1)(H)

• Custodial care: 1862(a)(9)

• Deductibles: 1813(a)(4)

• Definition: 1861(dd)(1); 1905(o)

• Drugs: 1813(a)(4)(A); 1861(dd)(1)(E)

• Election of program: 1812(d)

• Exclusions from coverage: 1862(a)(1)(C)

• Home health aide: 1861(dd)(1)(D)

• Homemaker services: 1861(dd)(1)(D)

• Hospital insurance benefit: 1811

• License; State: 1861(dd)(2)(F)

• Medical assistance: 1902(a)(13)(D); 1916(a)(2)(E), (b)(2)(E)

• Medical social services: 1861(dd)(1)(C)

• Medicare beneficiaries: 1814(i)(2)(C)

• Nursing care: 1861(dd)(1)(A)

• Occupational therapy: 1861(dd)(1)(B)

• Payment: 1812(d); 1814(i)

• Physical therapy: 1861(dd)(1)(B)

• Physician; attending: 1861(dd)(3)(B)

• Physician’s services: 1812(d)(2)(A); 1861(dd)(1)(F)

• Plan; written: 1814(a)(7)(B); 1861(dd)(1)

• Provider agency: 1816(e)(5)

• Provider of services: 1861(u)

• Records; central clinical: 1861(dd)(2)(C)

• Requirements met: 1861(dd)(4)(A)

• Respite care: 1813(a)(4)(A)(ii); 1861(dd)(1)(G)

• Scope of benefits: 1812(d); 1861(dd)(1)

• Speech-language therapy: 1861(dd)(1)(B)

• Standards: 1861(dd)(4)(A)

• Supplies, medical: 1861(dd)(1)(E)

• Terminally ill patient: 1861(dd)(3)(A)

• Volunteers: 1861(dd)(2)(E)

• Waiver deemed: 1812(d)(2)(A)

Hospice Program

• Agency: 1864(a)

• Charity care: 1861(dd)(2)(D)

• Definition: 1861(dd)(2)

• Records; central clinical: 1861(dd)(2)(C)

Hospital

• Accreditation: 1861(e); 1865

• Acute care: 1886(c)(1)

• Admissions; review: 1902(a)(30)(B)

• Arrangements for services: 1866(a)(1)(H)

• Capital-related cost: 1886(g)(1)

• Capital; return on equity: 1886(g)(2)

• Charge: 1154(e)(4); 1866(a)(1)(G)

• Closing: 1884; 1903(e)

• Community hospital program: 1820

• Community; sole: 1886(a)(2)(A), (d)(5)(D)

• Compliance with requirements: 1128(b)(13); 1864(a)

• Conditions of participation: 1861(e)(end)(B)

• Consultative services by State: 1902(a)(24)

• Control; disclosure: 1126(a)

• Costs; education: 1886(h)

• Costs; Secretary’s records: 1886(f)(1)

• Definition: 1861(e)

• Discharge classification: 1886(d)(4)(A), (d)(7)

• Discharge planning process: 1861(ee)

• Eligibility limitation: 1611(e)(1)(B)

• Emergency services: 1814(d); 1835(b)(1); 1867

• Extended care services provider: 1883; 1913

• Facilities: 1884

• Hearing; transitional allowance: 1884(d)

• Lesser-of-cost-or-charges: 1814(j)

• Liability limitation; norm of care provided: 1157(c)

• Medical assistance: 1915(c)(2)(B), (c)(7)(A)

• Nonparticipating: 1814(d)

• Nonpayment by Secretary: 1886(f)(2)

• Nonprofit; gifts; reasonable cost: 1134

• Obligation as health care provider: 1156(a)

• Occupancy rate determination: 1861(v)(1)(G)(i)(end)

• Organ procurement: 1138

• Ownership change: 1902(a)(13)(B)

• Ownership disclosure: 1126(a)

• Patients; low income: 1886(a)(2)(B)

• Payment: 1814(l); 1876(h)(2); 1886(c)(6)

• Peer review: 1154(e)(3); 1866(a)(1)(F), (a)(1)(end)

• Penalty: 1128A(b)

• Person living in: 2005(a)(5)

• Professional standards review organization: 1866(a)(1)(F)

• Psychiatric

• Admissions; review: 1902(a)(30)(B)

• Definition: 1861(f)

• Inpatient services: 1905(h)

• Inspections: 1902(a)(26)(B)

• Patients; low income: 1886(a)(2)(B)

• Sanctions: 1866(i); 1902(y)

• Public: 1886(a)(2)(B)

• Puerto Rico subsection (d): 1886(d)(9)

• Regulations: 1861(e)(end)(B); 1903(i)(3)

• Reimbursement control system: 1886(c)

• Reporting system: 1121; 1902(a)(13)(A)

• Retirement system coverage group: 218(d)(6)(B)

• Rural: 1102(b); 1154(a)(15); 1861(mm); 1866(a)(1)(I); 1867(e)(6)

• Staff: 1861(aa)(2)(J)

• Standards: 1861(e), (f)

• State

• Payment: 1886(c)(1)(end)

• Payment methodology: 1902(a)(13)(B)

• Reimbursement control system: 1886(c)(4), (c)(5)

• Reports to Secretary: 1886(c)(5)(B)(iii)

• State agency; compliance: 1864

• Subsection (d) hospital: 1886(d)(5)

• Teaching: 1814(g); 1835(e); 1842(b)(7); 1861(b)(7)

• Transfer agreement with skilled nursing facility: 1861(l)

• Tuberculosis: 1605(a)(2)*

• Utilization review plan: 1861(k)

• Wage index: 1886(d)(8)(C)

Hospital Insurance Benefits

• Accreditation of hospital: 1861(e); 1865(a)

• Administration: 1874

• Age requirement; widow or widower: 226(e)

• Agreement with provider: 1866

• Alien suspension provision applicable: 202(t)(9)

• Amount of benefit: 1869(a)

• Application of Title II: 1872

• Application requirement: 226(a), (b)(2)(C)(i); 1811

• Beneficiary

• Disability insurance: 226(b)

• Medicare: 1818(g)

• Railroad retirement: 226(a)(2)(B), (b), (d)

• Carrier; administration: 1842(a)

• Coverage exclusions: 1812(b); 1862(a), (b)

• Coverage period: 1818(c)(8); 1838(a); 1843(e)

• Deductible: 1813(b)(2)

• Determination; hearing: 1869

• Disability insurance beneficiary: 226(b)

• Disability period: 226(f)

• Eligibility: 226(b); 1811; 1818; 1818A

• Enrollment

• Eligible organization: 1876(c)(3), (d)

• Individual: 1818(b), (c)(7); 1818A(b); 1836; 1837; 1843

• Entitlement

• Conditions: 1811

• Deeming: 226(e)(2), (e)(3)

• Government employee: 210(p); 218(v)

• Month: 226(a), (b), (e)(4)

• Railroad retirement beneficiary: 226(a)(2)(B)

• Requirements: 226(a), (b); 226A(a)

• Termination: 226(c)(2)

• Extended care services: 1812(a)(1), (b)(1)

• Federal Hospital Insurance Trust Fund: 1817

• Government employee: 210(p); 218(n); 226(a)(2)(C); 1811

• Hospice care: 1811; 1812(a)(4), (d)

• Liability limits; disallowed claim: 1879

• Long-stay case: 1814(a)(5); 1866(d)

• Option: 1803

• Organization’s name: 1873

• Patient’s choice: 1802

• Payment

• Overpayment: 1870(b)

• Provider of services: 1815(a)

• Services: 1814; 1886; 1887

• Premium amount: 1818(d)(2); 1839(d)

• Professional services: 1887(a)(1)

• Program description: 1811

• Prohibition against Federal interference: 1801

• Provider; condition of participation: 1863

• Railroad service: 226(f)

• Regulations: 226(a)(2)(A); 1818(b); 1837(a); 1871; 1879(d)

• Renal disease; end stage: 226A

• Scope of benefits: 1812

• Services covered: 226(c)(1)

• State agency; compliance: 1864(a)

• Totalization agreement: 233(c)(3)

• Uninsured person: 226(h); 1818

Hospital Insurance Trust Fund, Federal

See   Federal Hospital Insurance Trust Fund

Hospital Insurance Trust Fund Ratio

• Definition: 201(l)(5)(B); 1817(j)(3)(B)(iii)

Hospital Services

See   Cost

Household: 1612(a)(2)(A)(i)

Housing

• Assistance: 1612(b)(14); 1613(a)(8)

Hurricane labor: 210(f)(2)

Husband’s Insurance Benefit

• Age requirement: 202(c)(1)(B)

• Amount of Benefit

• Age reduction: 202(q)

• Child in care; effect of: 202(q)(5)(A)(ii)

• Entitlement on own earnings record: 202(c)(1)(D)

• Normal: 202(c)(3)

• Reduced

• Age: 202(q)

• Entitlement to periodic governmental payment: 202(c)(2)

• Application

• Filing: 202(r)

• Requirement: 202(c)(1)(A)

• Child in Care

• Condition of entitlement: 202(c)(1)(B)

• Deduction event: 203(c)

• Effect on payment amount: 202(q)(5)(A)(ii)

• Deduction

• Amount: 203(b)(1), (c), (d)(1); 222(b)(3)

• Beneficiary Worked

• Annual earnings test: 203(b)(1)

• Foreign work test: 203(c)(1)

• Insured Worked

• Annual earnings test: 203(b)(1)

• Foreign work test: 203(d)(1)

• No child in care: 203(c)

• Rehabilitation services refusal by insured worker: 222(b)(3)

• Deportation of worker: 202(n)(1)(B)

• Divorced Husband

• Annual earnings test: 203(b)(2)

• Charging excess earnings: 203(f)(1)

• Definition: 216(d)(4)

• Entitlement on former spouse’s earnings record: 202(c)(5)

• Family maximum; exclusion: 203(a)(3)(C)

• Foreign work test: 203(d)(1)(B)

• Entitlement: 202(c)(1)

• Husband; definition: 216(f)

• Marital relationship; deemed: 216(f), (h)(1)(A)

• Marital status: 202(c)(1)(C)

• Payment

• Alien outside U.S.: 202(t)

• Felony conviction: 202(x)

• Worker’s substantial gainful activity: 223(a)(1)

• Report obligation: 203(g), (h)(1)(A), (h)(3); 208

• Student child: 202(s)(1)

• Termination Events

• Death: 202(c)(1)(E), (c)(1)(F)

• Disability cessation: 225(a)

• Divorce: 202(c)(1)(G)

• Marriage: 202(s)(2)

• Other: 202(c)(1)(I), (c)(1)(J), (c)(1)(K)

• Remarriage: 202(c)(1)(H), (c)(4)

• Termination month: 202(c)(1)(mid)

* State-administered Title XVI