I am Kentucky and have always been under the impression if a tube feeder stops receiving tube feedings and are getting flushes only after they have used their 100 days of Medicare, then a demand bill can be sent to Medicare to start the 60 day period of unskilled care and could potentially use their Medicare days again.

 

We have a new admissions coordinator who is telling me that in Kentucky, a g-tube is considered skilled Medicaid even without feedings and if they are skilled Medicaid, then the resident can never regenerate those Medicare days.

 

Does anyone have any ideas or references they could share on this one?

                                                      Thanks, Tracy Howard, RN

                                               

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