Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 50.3.2
Determining Whether Transfer Requirements Have Been Met
50.3.2 - Determining Whether Transfer Requirements Have Been Met
(Rev. 1, 10-01-03)
PM AB-01-131
It is very important to safeguard the beneficiary while applying necessary sanctions to the
provider. It is certainly possible that a beneficiary may remain at a facility under sanction
for a period of time and later transfer to a second SNF. The 30-day transfer requirement
will be applied in the same way it would be for a beneficiary transferring between two
SNFs that are not under sanction. Part A coverage will be available to the second SNF
for all remaining days in the benefit period as long as the beneficiary:
1. Had a qualifying hospital stay
2. Was admitted to a Medicare-certified bed in the first (sanctioned) SNF within 30
days of the hospital discharge, and
3. Is receiving a covered level of care at the time of transfer.