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Region

Region C

Issue Title

SNF Level of Care Review

Number

C000952013

Description

​While a 3-day stay in a psychiatric hospital satisfies the prior hospital stay requirement, institutions that primarily provide psychiatric treatment cannot participate in the program as SNFs. Therefore, a patient with only a psychiatric condition who is transferred from a psychiatric hospital to a participating SNF is likely to receive only non-covered care. In the SNF, the term “non-covered care” refers to any level of care, which is less intensive than the SNF level of care, which is covered under the program.​

States

Cahaba Region C

Provider Type

SNF

Date of Service

3 Years from Initial Determination Date

References

​42 CFR 409.31 2. CMS IOM 100-02 Chapter 8 Section 20.2.2.1 3. CMS IOM 100-02 Chapter 8 Section 30.2.3.2​

Date Posted

 

Date Revised

 

More Information

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Attachments

Created at 6/5/2013 9:21 AM by Aaron Gough
Last modified at 6/5/2013 10:36 AM by Aaron Gough