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Medicaid routinely authorizes a three month SNF
benefit for GTF once Medicare is exhaused. After the three month period,
unless there are complications, only ICF coverage is granted.
Comments?
----- Original Message -----
Sent: Friday, March 12, 2004 6:40
AM
Subject: Re: Gastrostomy tubes
This is not correct. The regulations have
not changed in a long time. Once benefits are exhausted, as long as the
resident remains in the SNF (or a hospital) and continues to meet the criteria
for Part A coverage, he will not have a 60-day break in skilled services
and therefore will not be able to qualify for a new benefit
period. Diagnosis is not a consideration.
See Benefit Periods at
http://www.cms.hhs.gov/manuals/101_general/ge101c03.asp
Rena
Rena
R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse
Assessment Coordinators
[EMAIL PROTECTED]
-----Original Message-----
From: Tracy Howard
[mailto:[EMAIL PROTECTED]
Sent: Friday, March 12, 2004 8:33
AM
To: [EMAIL PROTECTED]
Subject: Gastrostomy
tubes
I
was told yesterday that there was an update to Medicare a couple of years
ago that stated that g-tube feeders who have used their 100 days for their
g-tube, can be reskilled for something else such as an infection or wound
later on after 60 days and had a 3 day qualifying stay, but can never be
skilled for their g-tube again. Is this correct?
Does anyone have any references to this?
Tracy Howard, RN, BSN
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