Hi Carol.  Medicare would be a secondary payor after the VA contract ended
and the bene would still get 100 days from Medicare if he continued to need
and meet Medicare skilled criteria.  Here are a couple of references for
you:
http://www.cms.hhs.gov/medlearn/SNFFRManual.pdf
Manual Chapter 1 "Clinical Criteria, page 51 "Beneficiaries with other
Insurance Coverage" 
and:
http://cms.hhs.gov/manuals/12_snf/sn271-1.asp#_1_9
380.3D1  "Veterans Administration".

Winona Phelps



-----Original Message-----
From: Carol O'Brien [mailto:[EMAIL PROTECTED]
Sent: Friday, November 07, 2003 11:44 AM
To: [EMAIL PROTECTED]
Subject: VA to MCR-A


Question regarding going to Medicare A after a VA contact has ended.  Is it 
like insurance where we deduct the days used from the 100?  Or, do they get 
a full 100 days?  Also need the regulation if available please.  Thanks as 
always for the help.         Carol O'Brien

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The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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