Medicare Benefit Policy Manual (Pub. 100-02), Ch. 8 § 20.2.3

Readmission to a SNF

Last amended: 2018Year: 2018Length: 159 wordsOfficial source
20.2.3 - Readmission to a SNF (Rev. 242, Issued: 03-16-18, Effective: 06-19-18; Implementation: 06-19-18) If an individual who is receiving covered post-hospital extended care, leaves a SNF and is readmitted to the same or any other participating SNF for further covered care within 30 days after the day of discharge, the 30-day transfer requirement is considered to be met. The same is true if the beneficiary remains in the SNF to receive custodial care following a covered stay, and subsequently develops a renewed need for covered care there within 30 consecutive days after the first day of noncoverage. Thus, the period of extended care services may be interrupted briefly and then resumed, if necessary, without hospitalization preceding the resumption of SNF coverage. (See §§20.2.2 and 20.2.2.3 above for situations where a period of more than 30 days between SNF discharge and readmission, or more than 30 days of noncovered care in a SNF, is followed by later covered care.)
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 8 § 20.2.3: Readmission to a SNF | Justis AI