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.

https://www.americanbar.org/groups/law_aging/publications/bifocal/vol–39/issue-1–october-2017-/jimmo-fact-sheet.html

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

https://www.americanbar.org/groups/law_aging/publications/bifocal.html