See MLN Connects Newsletter (2024-02-08-MLNC, 2/8/2024)
“Medicare covers skilled nursing care and skilled therapy services under skilled nursing facility, home health, and outpatient therapy benefits when a beneficiary needs skilled care to maintain function or prevent or slow decline, as long as:
- The beneficiary requires skilled care for the services to be provided safely and effectively
- An individualized assessment of the patient’s condition demonstrates that the specialized judgement, knowledge, and skills of a qualified therapist are needed for a safe and effective maintenance program.
Visit the Jimmo Settlement Agreement webpage for more information.”