Jimmo Fact Sheet The Centers for Medicare and Medicaid Services (CMS)

Q1: What is the Jimmo Settlement Agreement (Janu­ary 2013)?

A1: The Jimmo Settlement Agreement clarified that when a beneficiary needs skilled nursing or therapy services under Medicare’s skilled nursing facility (SNF), home health (HH), and outpatient therapy (OPT) benefits in order to maintain the patient’s current condition or to prevent or slow decline or deterioration (provided all other coverage criteria are met), the Medicare program covers such services and coverage cannot be denied based on the absence of potential for improvement or restoration.


Bifocal A Journal of the ABA Commission on Law and Aging. .




Author: Law Office of Maryann Williams, LLC

I have been an Indiana attorney for 28 years. Practicing primarily in the Owen County and surrounding counties in the area of family law, business, and civil practice. I am also a registered family mediator for the State of Indiana.

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