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Region C

Issue Title

SNF Level of Care Review




​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.​


Region C - Novitas

Provider Type


Date of Service

3 years from initial determination date


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

Date Posted


Date Revised


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Created at 6/5/2013 9:30 AM by Aaron Gough
Last modified at 6/5/2013 10:36 AM by Aaron Gough