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Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet

Beneficiary must have Medicare Part A with days left in their 100 day benefit period.

A medically necessary inpatient hospital stay of at least 3 consecutive days (date of discharge is not included, observation and emergency room time does not count towards the qualifying stay).

Transferred to a Medicare participating SNF within 30 days of hospital discharge for exception refer to the CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 8, Section 20.2.2.

Care in the SNF must relate back to what the beneficiary was treated for in the hospital or a new condition arising while in the qualifying stay or SNF.

Required care must be of a level of complexity or the patient’s condition such that it can only be provided by or under the supervision of the licensed nurse or therapist.

Services should be of a level that can only practically be provided on an inpatient basis.

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Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet
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