HMO to PPS

[sheppard70057rn]

I have a question in regrds to HMO to PPS.   Had a resident admitted from hospital 12/30/03.  Attempted to get a skilled rate from HMO on this resident but they denied it.  However technically this resident would be at a SNF level, not an ICF level due to daily injections.  Then January 16, 2003 the HMO company gave us authorization for PT and OT to treat 3 x week.  They treated for two weeks and now it is time for reauthorization, however, we found out today that she disenrolled from HMO and now is Medicare Part a and b.  Can we pick her up for PPS now?  This resident's hospital stay was for COPD and exacerbation of CHF.  WE had been requesting therapy from the time she came to our building but the HMO drug their feet and did not give authorization for almost 2 1/2 weeks.   I called the FI, and they do not know.  The representative I talked to said she has to ask someone else and they will get back with me.  Does anyone out there know.  Dawn Sheppard, RN, CRNAC