New Fact Sheet: Skilled Nursing Facility Coverage and Jimmo v. Sebelius

With support from the John A. Hartford Foundation, the Center for Medicare Advocacy provides the following Fact Sheet to help Medicare nursing home beneficiaries and their families respond to unfair Medicare denials based on an erroneous “Improvement Standard.” The Fact Sheet emphasizes language from the Jimmo Settlement Agreement, wherein the Centers for Medicare & Medicaid Services (CMS) agreed to revise the Medicare Benefit Policy Manual to clearly disavow any notion that a resident of a skilled nursing facility must improve in order for his or her skilled nursing or skilled therapy services to be covered by Medicare. Skilled nursing and therapy are Medicare-covered services.

Source/more: Center for Medicare Advocacy