Jimmo v. Sebelius Settlement Agreement Program Manual Clarifications Fact Sheet
Guidance for Medicare contractors, including SNF, home health and outpatient therapy providers, on the Jimmo v. Sebelius Settlement Agreement and to clarify Medicare’s longstanding policy that when skilled services are required in order to provide care that is reasonable and necessary to prevent or slow further deterioration, coverage cannot be denied based on the absence of potential for improvement or restoration.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 20, 2014
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