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Know Jimmo | Help Open Doors to Care

October 30, 2025

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Medicare Opens Doors to Health Care for 68 million Americans.  Jimmo provides the key for thousands of beneficiaries who have longer-term and chronic conditions.  

The Jimmo case settlement reiterates that Medicare should not be denied because an individual cannot improve.  It reiterates that Medicare is available for skilled care to maintain or slow decline of a person’s condition.

Help us help. Help ensure the Jimmo principles are known and accurately applied to open access to necessary care. Spread the message:

“No improvement standard is to be applied in determining Medicare coverage for maintenance claims that require skilled care.” Medicare Benefit Policy Manuals were edited to reflect this. See, CMS Transmittal 179, Pub. 100-02 (1/14/2014); Important Message about the Jimmo Settlement, CMS.gov.

It’s the law!  Pass it on.


Learn More

To learn more about the historic Jimmo Settlement, including watching a recording of CMA’s recent Jimmo Symposium – Jimmo v. Sebelius at 10 Years: A Call for Sustainable Implementation please visit the Jimmo section of our website by clicking here.


Filed Under: Article Tagged With: Jimmo-practice-tip, Weekly Alert

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

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National Voices of Medicare Summit

With the many threats currently facing the Medicare program, now is the time to come together as allies and explore ways to advocate for comprehensive Medicare coverage, health equity, and quality health care. Drawing inspiration from real-life experiences and stories of beneficiaries and caregivers, we hope to share impactful discussions with you.

Learn more.

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