CHA News Article

CMS Launches Jimmo Settlement Agreement Web Page
Provides clarification of “maintenance coverage standard” for therapy, skilled-nursing services

The Centers for Medicare & Medicaid Services (CMS) has developed a web page providing background and resource information on the January 2013 Jimmo Settlement Agreement, which clarified that the Medicare program covers skilled-nursing care and skilled therapy services under Medicare’s skilled-nursing facility, home health and outpatient therapy benefits when a beneficiary needs skilled care to maintain function, or to prevent or slow decline or deterioration (provided all other coverage criteria are met). The new web page provides access to various public documents related to the Jimmo Settlement Agreement, including frequently asked questions.