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Region

Region A

Issue Title

SNF Psychiatric Condition

Number

A000602012

Description

Patients with only a psychiatric condition who are transferred from a psychiatric hospital to a participating SNF are likely to receive only non-covered care. Also, patients whose primary condition/needs are psychiatric in nature often require considerably more specialized, sophisticated nursing techniques and physician attention than is available in most participating SNFs. (SNFs primarily engaged in treating psychiatric disorders are precluded by law from participating in Medicare.)

States

CT, DC, DE, MD, ME, MA, NY, PA, MD, NJ, RI, VT, NH

Provider Type

Skilled Nursing Facility

Date of Service

Claims having a "claim paid date" which is more than 3 years prior to the ADR date will be excluded.

References

Date Posted

1/18/2013

Date Revised

 

More Information

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Attachments

Created at 6/4/2013 2:46 PM by Aaron Gough
Last modified at 6/5/2013 10:36 AM by Aaron Gough