Common Contracts
1 similar null contracts
You do not have to improve to qualify for Medicare coverage!December 11th, 2018
On January 24, 2013, the U.S. District Court for the District of Vermont approved a settlement agreement in Jimmo v. Sebelius, No. 5:11-CV-17 (D. VT). As a result of the Jimmo Settlement, the Centers for Medicare & Medicaid Services (CMS) was required to confirm that Medicare coverage is determined by beneficiaries’ need for skilled care, not their potential for improvement. Medicare policy now clearly states that coverage “does not turn on the presence or absence of a beneficiary’s potential for improvement, but rather on the beneficiary’s need for skilled care. Skilled care may be necessary to improve a patient’s condition, to maintain a patient’s current condition, or to prevent or slow further deterioration of the patient’s condition.” (CMS Transmittal 179, Pub 100-02, 1/14/2014).
