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1050132-232

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6.26.75

CONTENTS

Social Work
Library

I. Social Security Cash Benefit Provisions

1. Special minimum cash benefits..

2. Increase in widow's and widower's insurance benefits.

3. Increased benefits for those who delay retirement beyond age 65.

4. Age 62 computation point for men

5. Liberalization of the retirement test_

6. Dependent widower's benefits at age 60.

7. Childhood disability benefits__.

8. Continuation of child's benefits through the end of a semester..

9. Eligibility of a child adopted by an old-age or disability insurance

beneficiary.

10. Benefits for a child entitled on the record of more than one worker..

11. Benefits for a child based on the earnings record of a grandparent__

12. Nontermination of child's benefits by reason or adoption___.

13. Elimination of the support requirements for divorced women_

14. Waiver of duration-of-marriage requirement in case of remarriage_

15. Reduction in waiting period for disability benefits..

16. Disability insured status for individuals who are blind..

17. Disability insurance benefits applications filed after death..

18. Disability benefits affected by the receipt of workmen's compensa-

tion_.

19. Wage credits for members of the uniformed services..

20. Optional determination of self-employment earnings..

21. Coverage of members of religious orders who are under a vow of

poverty-

22. Self-employment income of certain individuals living temporarily

outside the United States _ _

23. Issuance of social security numbers and penalty for furnishing false

information to obtain a number___

24. Trust fund expenditures for rehabilitation services_

25. Recomputation of benefits based on combined railroad and social

security earnings---

26. Payments to disabled former employee_-.

27. Social security coverage for foreign missionaries___

28. Coverage of students and certain part-time employees.

29. Wage credits for World War II internees..

30. Duration of relationship requirements_

31. Other cash benefit amendments..

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II. Medicare-Medicaid Amendments-Continued

12. Beneficiary liability under medicare_

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13. Limitation on Federal payments for disapproved capital expenditures_ 11 14. Demonstrations and reports...

15. Limitation on coverage of costs under medicare..

16. Limits on prevailing physician charge levels

17. Limits on payments to skilled nursing facilities and intermediate care facilities under medicaid___.

18. Payments to health maintenance organizations

19. Payments for the services of teaching physicians

20. Advance approval of ECF and home health coverage. 21. Termination of payment to suppliers of service

22. Elimination of requirement that States move toward comprehensive medicaid program--

23. Elimination of medicaid maintenance of effort.

24. Determination of reasonable cost of inpatient hospital services under medicaid and maternal and child health programs__

25. Customary charges less than reasonable costs under medicare_ 26. Institutional planning under medicare_

27. Cost determination systems under medicaid.

28. Prohibition against reassignment of claims for benefits..

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29. Utilization review requirements under medicaid and maternal and child health programs

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30. Notification of unnecessary hospital and skilled nursing facility admissions_ .

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31. Use of State health agency to perform certain functions under medicaid..

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32. Relationship between medicaid and comprehensive health programs. 33. Proficiency testing

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34. Penalty for fraudulent acts and false reporting

35. Provider Reimbursement Review Board_.

36. Validation of Joint Commission on Accreditation of Hospitals Surveys.
37. Payments for durable medical equipment under medicare
38-42. Skilled nursing facilities under medicare and medicaid.
43. Federal financing of nursing home inspections_-_.

44. Disclosure of information concerning medicare agents and providers__
45. Prohibition against institutional medical care payments under case
welfare programs -

46. Determining eligibility for medicaid for certain individuals.

47. Professional standards review organizations.

48. Physical therapy services and other services under medicare.

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52. Extension of grace period for termination of supplementary medical insurance coverage where failure to pay premiums is due to good

cause.

53. Extension of time for filing claim for supplementary medical insurance benefits where delay is due to administrative error_

54. Waiver of enrollment period requirements where individual's rights were prejudiced by administrative error or inaction.

55. Elimination of provisions preventing enrollment in supplementary medical insurance program more than 3 years after first opportunity...

56. Waiver of recovery of incorrect medicare payments from survivor who
is without fault_.

57. Requirement of minimum amount of claim to establish entitlement to
hearing under supplementary medical insurance program..
58. Collection of supplementary medical insurance premiums from indi-
viduals entitled to both social security and railroad retirement bene-
fits.

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59. Provide that services of optometrists in furnishing prosthetic lenses not require a physician's order.

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60. Prohibition against requiring professional social workers in ECFs under medicare_

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