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CMS Releases Guidance on MSSP ACO Waiver for SNF 3-Day Rule

Posted in Accountable Care Organizations

In January, the Centers for Medicare and Medicaid Services (CMS) published very helpful guidance on the implementation of the waiver of the Skilled Nursing Facility (SNF) 3-Day Rule for certain Medicare Shared Savings Program (MSSP) ACOs.  The SNF 3-Day Rule Waiver waives the requirement for a 3-day inpatient hospital stay in order to get Medicare coverage for a post-hospital admission to a SNF for eligible beneficiaries. The guidance explains the genesis of the SNF 3-Day Rule Waiver, waiver eligibility criteria for MSSP ACOs and SNF affiliates, the need for a beneficiary communication plan, directions on how to apply for the waiver, and a sample agreement for SNF affiliates.

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