No he doesn't. According to Q&A in Briefings on Long-term care regulations, if you
provide Part B therapy services to a resident then the 60-day break in skilled
services count starts over.
Davina DeMerritt, RN
>
> From: C Hannant <[EMAIL PROTECTED]>
> Date: 2003/12/04 Thu PM 02:39:33 EST
> To: [EMAIL PROTECTED]
> Subject: Re: qualifying for MCA
>
> This is a great question. I had this same issue come up this week. My
> feeling is that he should get his coverage again, but it really is only
> a guess. I decided that on the fact that when PT picked him up 5x/wk
> (d/t caps), he did not meet the other requirements of 3 day hospital stay.
>
> What do the experts say.
> cher
>
> Goche, Ann wrote:
>
> > Facts:
> >
> >
> >
> > Mr. S was admitted to SNF on 2/22/03 on MCA. Last covered MCA was 3/3/03.
> >
> > Out to the hospital (OTH) on 11/10/03 with Fx hip repair.
> >
> > Returned from hospital on 11/16/03 and needed PT 5x week.
> >
> > Prior to going OTH, he received Part B 5x week OT...9/5/03 to 9/15/03
> >
> >
> >
> > Question:
> >
> > Does the Part B skilled services prevent the beginning of a
> > New Part A benefit period?
> >
> >
> >
> > Thanks,
> >
> > Ann
> >
> >
> >
>
>
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