Q:

Does the section 1812(f) waiver for the 3-day qualifying hospital stay apply only to those beneficiaries who are actually diagnosed with COVID-19, or does the waiver apply to all SNF-level beneficiaries under Medicare Part A?

 

A:

The qualifying hospital stay waiver applies to all SNF-level beneficiaries under Medicare Part A, regardless of whether the care the beneficiary requires has a direct  relationship to COVID-19.

Updated: 4/9/2020 pg. 35. See: https://www.cms.gov/About-CMS/AgencyInformation/Emergency/EPRO/Current-Emergencies/Current-Emergencies-page  (Source: CMS FAQ New: 4/10/20)

Blog by Amie Martin, OTR/L, CHC, RAC-CT, Proactive Medical Review

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