Basic Considerations

To be eligible under nursing home COA, an A/R must meet the following conditions:

The A/R is in a Medicaid participating nursing home, swing bed, facility for mentally retarded or Tertiary Care Unit (TCU) (See Section 2581 for Swing Bed.)

The A/R meets the Length of Stay (LOS) and Level of Care (LOC) basic eligibility criteria.

The A/R meets all other basic and financial eligibility criteria.

Please see Section 2143 regarding Medicare Skilled Nursing Facility (SNF) for QMB