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 … [Read more...] about Know Jimmo | CMS Reiterates that Medicare Coverage is Available to Maintain Function or Slow Decline
Search Results for: maintenance
Know Jimmo | It’s Not About Care Setting
The Jimmo Settlement Agreement is consistent with the Medicare program’s regulations governing maintenance nursing and therapy in skilled nursing facilities, home health services, and outpatient therapy (physical, occupational, and speech) and … [Read more...] about Know Jimmo | It’s Not About Care Setting
Know Jimmo | CMS Reminder to MA Plans
In a February 2024 memo, the Centers for Medicare & Medicaid Services reminded Medicare Advantage organizations that the Jimmo Settlement ...clarified that the Medicare program covers skilled nursing care and skilled therapy services under … [Read more...] about Know Jimmo | CMS Reminder to MA Plans
Know Jimmo | Skilled Nursing Facility Policy
Medicare Benefit Policy Manual, Chapter 8 – Skilled Nursing Facility Services Section 30 Coverage of nursing care and/or therapy to perform a maintenance program does not turn on the presence or absence of a patient’s potential for improvement … [Read more...] about Know Jimmo | Skilled Nursing Facility Policy
Know Jimmo | New CMS Implementation Activity!
CMS Joins the Center for Medicare Advocacy to Advance Access to Medicare-Covered Skilled Care to Maintain One’s Condition or Slow Decline In 2011, the Center for Medicare Advocacy and Vermont Legal Aid brought the Jimmo v. Sebelius class … [Read more...] about Know Jimmo | New CMS Implementation Activity!
Know Jimmo | Home Health Policy
Medicare Benefit Policy Manual, Chapter 7 – Home Health Services Section 20.1.2 Coverage of skilled nursing or therapy to perform a maintenance program does not turn on the presence or absence of a patient’s potential for improvement from the … [Read more...] about Know Jimmo | Home Health Policy
Know Jimmo | The Medicare Policy Manual
Outpatient Maintenance Physical Therapy, Occupational Therapy and Speech Language Pathology Services (Medicare Benefit Policy Manual Ch. 5, §220.2D) Outpatient Physical Therapy, Occupational Therapy and Speech Language Pathology Services “may be … [Read more...] about Know Jimmo | The Medicare Policy Manual
Know Jimmo | Right from the Medicare Agency
The Centers for Medicare & Medicaid Services (CMS) reminds the Medicare community of the Jimmo Settlement Agreement (January 2013), which clarified that the Medicare program covers skilled nursing care and skilled therapy services under … [Read more...] about Know Jimmo | Right from the Medicare Agency
Know Jimmo | Priscilla’s Sister
The Jimmo Settlement Could Help Priscilla’s Sister Continue Therapy My sister, who has an Alzheimer’s diagnosis, has been refused continuation of PT by the home care provider…They have discharged my sister from PT saying they will tell caregivers … [Read more...] about Know Jimmo | Priscilla’s Sister
Insurance Industry Group Issues Misleading Medicare Advantage Report
Report Suggests Medicare Could Save Money by Providing as Little Care as Private Medicare Advantage Plans Do, While Ignoring the Harm to Beneficiaries, Overpayments to the Private Plans, and Damage to Medicare’s Solvency On November 24, 2023, the … [Read more...] about Insurance Industry Group Issues Misleading Medicare Advantage Report