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Search Results for: jimmo

Know Jimmo | Outpatient Therapy to Maintain Function or Slow Decline Is Eligible for Medicare Coverage

December 11, 2025

The key to coverage is whether the individual requires a skilled provider to ensure the services are safe and effective, not whether improvement is expected. “Medicare coverage does not turn on the presence or absence of improvement from therapy, … [Read more...] about Know Jimmo | Outpatient Therapy to Maintain Function or Slow Decline Is Eligible for Medicare Coverage

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

Know Jimmo | CMS Reminder to MA Plans

December 4, 2025

In a February 2024 memo, the Centers for Medicare & Medicaid Services reminded Medicare Advantage organizations that Jimmo applies to them, saying that the Jimmo Settlement ...clarified that the Medicare program covers skilled nursing care … [Read more...] about Know Jimmo | CMS Reminder to MA Plans

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

Know Jimmo | Maintenance Care is Covered if it Requires Skilled Personnel for Safe Delivery – Ask CMS!

November 20, 2025

Frequently Asked Question #5: Q5: When are skilled nursing or therapy services to maintain a patient’s current condition or prevent or slow further deterioration covered under the SNF, HH, and OPT benefits, assuming all other coverage criteria are … [Read more...] about Know Jimmo | Maintenance Care is Covered if it Requires Skilled Personnel for Safe Delivery – Ask CMS!

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

Know Jimmo | Jimmo Applies to Medicare Advantage!

November 13, 2025

As CMS states in its Jimmo Frequently Asked Questions, Medicare Advantage plans are required to cover care to maintain or slow deterioration just as in traditional Medicare. This is clearly reiterated in FAQ 15 on CMS’s website: Q15: Does the … [Read more...] about Know Jimmo | Jimmo Applies to Medicare Advantage!

Filed Under: Article

Know Jimmo | You do NOT Have to Decline

November 5, 2025

From Frequently Asked Questions – CMS.gov/Jimmo: Q11: If a patient is not improving or is not expected to return to his or her prior level of function from skilled nursing or therapy, does Medicare coverage for skilled nursing or skilled therapy … [Read more...] about Know Jimmo | You do NOT Have to Decline

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

Know Jimmo | Help Open Doors to Care

October 30, 2025

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 … [Read more...] about Know Jimmo | Help Open Doors to Care

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

Know Jimmo | When Should Medicare Coverage be Available for Home Health Care

October 23, 2025

Home health care can be covered by Medicare if it meets the following criteria: For more information see our Home Health Quick Screen for Medicare Coverage … [Read more...] about Know Jimmo | When Should Medicare Coverage be Available for Home Health Care

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

Know Jimmo | Home Health Care for Chronic Conditions

October 16, 2025

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

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

Know Jimmo | CMS “Clarified” that Skilled Maintenance is Covered

October 9, 2025

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

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

Know Jimmo | Share a Success Story

October 2, 2025

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

Filed Under: Article Tagged With: The Improvement Standard

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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!

Read more.

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.

Center for Medicare Advocacy Follow 10,488 5,333

A national nonpartisan, nonprofit law organization working to advance access to comprehensive #Medicare coverage and quality #healthcare.

CMAorg
CMAorg avatar Center for Medicare Advocacy @CMAorg ·
11 Dec 1999172773487194169

📣Federal cuts are expected to carve a $100M hole in the Alameda Health System’s budget

@CMAorg called H.R. 1 “the largest rollback of federal support for health care in American history”

📝@DarwinBondGraha
via @Oaklandside

Learn more⬇️

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Federal cuts are expected to carve a $100M hole in the Alameda Health System’s budget 

Trump’s “Big Beautiful Bill” is forcing an unprecedented $1 trillion cut to Medicaid spending. At the East Bay...

oaklandside.org

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
9 Dec 1998412815393267757

You may be paying more than you need to. Medicare Savings Programs can help pay your Medicare premiums & other costs. Many people qualify and don’t know it. These programs could save you thousands each year.
👇

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Medicare Savings Programs

Get help from your state paying your Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) premiums through a Medicare Savings Program.

www.medicare.gov

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
8 Dec 1998087710842703960

We know this will lead to more unjustified denials. At CMA, we’re here to answer all of your questions, help you understand your rights - including your right to appeal - and guide you through the daunting appeals process.

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Medicare’s new AI experiment sparks alarm among doctors, lawmakers • Stateline

A Medicare pilot program will allow private companies to use artificial intelligence to review older Americans’ requ...

stateline.org

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BoomerBenefits avatar Boomer Benefits Medicare Expert @BoomerBenefits ·
5 Dec 1996731569063551450

Lots of retirees hit the road before winter comes to go to a warmer state. However, it's important to know how your Medicare coverage works when traveling between two states.

Boomer Benefits We Speak Medicare® | 817-249-8600

#Medicare #Retirement

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What do Snowbirds do for Medicare Coverage? - Boomer Benefits

Each Medicare plan works differently when you're away from your permanent residence. Here's what you need to know ...

boomerbenefits.com

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