Skip Ribbon Commands
Skip to main content

Region

Region B

Issue Title

Skilled Nursing Facility (SNF) Psychiatric Condition

Number

 

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

MN, WI, MI, IL, IN, OH, KY

Provider Type

SNF

Date of Service

Dates of Service 10/1/2007--Open

References

​42 CFR § 409.30 Basic requirements - link
42 CFR § 409.31 Level of care requirement - link
CGS LCD L31952 - Effective 04/30/11 for J15 MAC states (OH, KY) - link
NGS Local Medical Policy Article A50641 - Effective 02/01/2011 for FI states (WI, MI, IL, IN) and effective 02/01/11 through 03/31/11 for FI states (OH, KY) - link
NGS LCD L26861 - Effective 07/01/2008 through 01/31/2011 for FI states (WI, MI, IL, IN, KY, OH) - link
CMS IOM 100-2, Chapter 8, Section 20.1 and Section 30.2.3.2 - link

Date Posted

 

Date Revised

 

More Information

Click to view

Attachments

Created at 6/5/2013 8:33 AM by Aaron Gough
Last modified at 6/5/2013 10:36 AM by Aaron Gough