I have a questiion that I've not seen addressed here yet. I am in NC where
we recently went Case-Mix on Medicaide. We no longer have "Skilled" or
"ICF" levels of care. We have "Nursing Home" and "Domicilary." If someone is
Domiciliary, we have to get them into a Rest Home or Assisted Living
Facility. However, my question is.... If we no longer have "SNF" level, how
do we determine if someone has had a 60 day period of wellness? Currently we
are allowing residents to have another 100 Med A days if they haven't been
in hospital in 60 days. I'm not comfortable with this, but I'm told it
dosen't matter since there are no more levels. Can someone shed some light
on this???
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