Medicare Benefit Policy Manual
Links to all Chapters and Crosswalks.
The Internet-only Manuals (IOMs) are a replica of the Agency's official record copy. They are CMS' program issuances, day-to-day operating instructions, policies, and procedures that are based on statutes, regulations, guidelines, models, and directives. The CMS program components, providers, contractors, Medicare Advantage organizations and state survey agencies use the IOMs to administer CMS programs.
Use the links below for direct access to these PDF files:
Chapter 1 - Inpatient Hospital Services Covered Under Part A [PDF, 190 KB]
Chapter 1 Crosswalk [PDF, 196 KB]
Chapter 2 - Inpatient Psychiatric Hospital Services [PDF, 53 KB]
Chapter 2 Crosswalk [PDF, 75 KB]
Chapter 3 - Duration of Covered Inpatient Services [PDF, 49 KB]
Chapter 3 Crosswalk [PDF, 72 KB]
Chapter 4 - Inpatient Psychiatric Benefit Days Reduction and Lifetime Limitation [PDF, 103 KB]
Chapter 4 Crosswalk [PDF, 77 KB]
Chapter 5 - Lifetime Reserve Days [PDF, 98 KB]
Chapter 5 Crosswalk [PDF, 105 KB]
Chapter 6 - Hospital Services Covered Under Part B [PDF, 174 KB]
Chapter 6 Crosswalk [PDF, 114 KB]
Chapter 7 - Home Health Services [PDF, 426 KB]
Chapter 7 Crosswalk [PDF, 315 KB]
Chapter 8 - Coverage of Extended Care (SNF) Services Under Hospital Insurance [PDF, 284 KB]
Chapter 8 Crosswalk [PDF, 249 KB]
Chapter 9 - Coverage of Hospice Services Under Hospital Insurance [PDF, 95 KB]
Chapter 9 Crosswalk [PDF, 188 KB]
Chapter 10 - Ambulance Services [PDF, 175 KB]
Chapter 10 Crosswalk [PDF, 123 KB]
Chapter 11 - End Stage Renal Disease (ESRD) [PDF, 347 KB]
Chapter 11 Crosswalk [PDF, 321 KB]
Chapter 12 - Comprehensive Outpatient Rehabilitation Facility (CORF) Coverage [PDF, 92 KB]
Chapter 12 Crosswalk [PDF, 130 KB]
Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services [PDF, 216 KB]
Chapter 13 Crosswalk [PDF, 255 KB]
Chapter 14 - Medical Devices [PDF, 191 KB]
Chapter 14 Crosswalk [PDF, 95 KB]
Chapter 15 - Covered Medical and Other Health Services [PDF, 1.21 MB]
Chapter 15 Crosswalk [PDF, 588 KB]
Chapter 16 - General Exclusions from Coverage [PDF, 113 KB]
Chapter 16 Crosswalk [PDF, 212 KB]
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