Home Health Care is Available for Medicare Beneficiaries with Long Term, Chronic, and Terminal Conditions The key to coverage is whether the individual requires skilled nursing or therapy and whether care would be safe and effective if skilled … [Read more...] about Know Jimmo | Home Health Care for Chronic Conditions
Search Results for: Jimmo
Know Jimmo | CMS “Clarified” that Skilled Maintenance is Covered
In November 2010, CMS revised its regulations to clarify Medicare coverage principles for skilled services. Most importantly, the revisions “clarified” that skilled care does include services intended to maintain a person's condition and that no … [Read more...] about Know Jimmo | CMS “Clarified” that Skilled Maintenance is Covered
Know Jimmo | Share a Success Story
Have you or someone you know successfully argued for Medicare coverage of skilled care to maintain a condition, or slow decline, rather than being told there's a need to "improve?" Let us know! Share your story with us at … [Read more...] about Know Jimmo | Share a Success Story
Know Jimmo | Key Medicare Coverage Principles
Key Medicare Coverage Principles Search CMS.gov for Jimmo and An Important Message About Jimmo Help Open Doors to Necessary Care! … [Read more...] about Know Jimmo | Key Medicare Coverage Principles
Know Jimmo | CMS Fact Sheet
Jimmo v. Sebelius Settlement Agreement Program Manual Clarifications Fact Sheet “… Medicare has never supported the imposition of an “Improvement Standard” rule-of-thumb in determining whether skilled care is required to prevent or slow … [Read more...] about Know Jimmo | CMS Fact Sheet
Know Jimmo | Skilled Outpatient Maintenance Therapy IS Available
The Center for Medicare Advocacy is often asked in what care settings the Jimmo Settlement applies. Jimmo applies to skilled care – nursing and therapy (physical, occupational and speech language pathology) – received in a skilled nursing facility, … [Read more...] about Know Jimmo | Skilled Outpatient Maintenance Therapy IS Available
Know Jimmo | No “Rules of Thumb”
In November 2010, CMS affirmatively revised its regulations to clarify Medicare coverage principles for home health services, including physical therapy, occupational therapy, and speech-language pathology services. Most importantly for people with … [Read more...] about Know Jimmo | No “Rules of Thumb”
Know Jimmo | CMS Reminded Providers & Contractors Back in 2021
“Skilled Nursing Care & Skilled Therapy Services to Maintain Function Or Prevent or Slow Decline: Reminder Medicare covers skilled nursing care and skilled therapy services under skilled nursing facility, home health, and outpatient therapy … [Read more...] about Know Jimmo | CMS Reminded Providers & Contractors Back in 2021
Know Jimmo | Jimmo Applies to Home Health Care
Skilled Maintenance Care is Covered The Jimmo Court rulings and related policy changes specifically apply to Medicare coverage for home health care. The Medicare Home Health Benefit Policy Manual makes that very clear. It states: “Coverage of … [Read more...] about Know Jimmo | Jimmo Applies to Home Health Care
Know Jimmo | Jimmo Applies to Medicare Advantage
Skilled Nursing and therapy to maintain an individual's condition are covered by Medicare. Improvement is not required. This applies to Medicare Advantage as well as traditional Medicare. CMS wrote in the 2/13/2024 memo "Reminder: Jimmo Settlement … [Read more...] about Know Jimmo | Jimmo Applies to Medicare Advantage