Skilled Nursing Facility (SNF) Coverage

10.13 – Skilled Nursing Facility (SNF) Coverage (Rev. 120, Issued: 01-16-15, Effective: 01-01-15, Implementation: 01-01-15) Prior to termination of SNF services, the provider must deliver a valid written notice to the enrollee of the MAO’s decision to terminate covered services no later than two days before the proposed end of the services (42 CFR § 422.624(b)). The MAO is financially liable for continued services until two days after the enrollee receives valid notice. If the enrollee’s services are expected to be fewer than two days in duration, the provider should notify the enrollee at the time of admission to the provider. An enrollee who receives advance notice and agrees with the termination of services earlier than 2 days hence, may waive continuation of services.