The beneficiary should file an initial election statement through the interval beginning September 28 of the previous cap yr via September 27 of the present cap 12 months in order to be counted as an electing CHAMPUS beneficiary during the present cap yr. Total variety of CHAMPUS hospice days through the cap period. Payments in extra of the inpatient limitation should be refunded by the hospice program. Services shall be topic to the suitable allowable charge methodology.

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Public assistance and welfare funds are included in income. The worth of in-kind housing advantages is excluded from revenue as required underneath USDA laws. A pregnant woman who’s ineligible for participation within the Program as a outcome of she does not meet income criteria shall be deemed eligible if the factors could be met by increasing the number of individuals in her family by the variety of kids in utero.

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Examples of domiciliary care conditions. The following are examples of domiciliary look after which CHAMPUS advantages aren’t payable. The statute under which CHAMPUS operates also specifically excludes domiciliary care (refer to § 199.2 of this half for the definition of “Domiciliary Care”).

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These include the Extended Care Health Option (§ 199.5), the Special Supplemental Food Program (see § 199.23), and the Supplemental Health Care Program (§ 199.16), besides when referred by a Military Treatment Facility provider for incidental consults and the MTF supplier maintains clinical management over the episode of care. The TRICARE Dental Program (§ 199.13) is independent of this program and is otherwise obtainable to all members of the Selected Reserve and their eligible members of the family whether or not they purchase TRICARE Reserve Select coverage. The Continued Health Care Benefits Program (§ 199.20) can additionally be unbiased of this program and is otherwise available to all members who qualify. This section prescribes tips and policies for the supply and administration of the Special Supplemental Food Program for Women, Infants, and Children Overseas .

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