In accordance with a February 1, 2017 court order, the Centers for Medicare and Medicaid Services (CMS) has launched a website with information and resources on the Jimmo Setttlement. Jimmo is a landmark case brought on behalf of a nationwide class of Medicare beneficiaries who were illegally denied coverage and access to skilled nursing home or home health services because they did not show sufficient potential for improvement. The Jimmo Settlement Agreement clarifies that Medicare coverage of skilled nursing and skilled therapy services does not turn on the presence or absence of a beneficiary’s potential for improvement, but rather on the beneficiary’s need for skilled care.
Read the Center for Medicare Advocacy’s press release on this development