Medicare Benefit Policy Manual (Pub. 100-02), Ch. 7 § 30.2.10
Termination of the Plan of Care - Qualifying Services
30.2.10 - Termination of the Plan of Care - Qualifying Services
(Rev. 10438, Issued: 11-06-20, Effective: 03-01-20, Implementation: 01- 11-21)
The plan of care is considered to be terminated if the patient does not receive at least one
covered skilled nursing, physical therapy, speech-language pathology service, or
occupational therapy visit in a 60-day certification period since these are qualifying
services for the home health benefit. An exception is if the physician or allowed
practitioner documents that the interval without such care is appropriate to the treatment
of the patient's illness or injury.