(a) Subject to the provisions of § 412.521(b), the applicable payments made under this subpart are payment in full for all inpatient hospital services, as defined in § 409.10 of this chapter. Inpatient hospital services do not include the following:
- (1) Physicians' services that meet the requirements of § 415.102(a) of this subchapter for payment on a fee schedule basis.
- (2) Physician assistant services, as defined in section 1861(s)(2)(K)(i) of the Act.
- (3) Nurse practitioners and clinical nurse specialist services, as defined in section 1861(s)(2)(K)(ii) of the Act.
- (4) Certified nurse midwife services, as defined in section 1861(gg) of the Act.
- (5) Qualified psychologist services, as defined in section 1861(ii) of the Act.
- (6) Services of an anesthetist, as defined in § 410.69 of this subchapter.
- (b) Medicare does not pay any provider or supplier other than the long-term care hospital for services furnished to a Medicare beneficiary who is an inpatient of the hospital except for services described in paragraphs (a)(1) through (a)(6) of this section.
- (c) The long-term care hospital must furnish all necessary covered services to the Medicare beneficiary who is an inpatient of the hospital either directly or under arrangements (as defined in § 409.3 of this subchapter).