What to do if:

Official source

Situation Determination Applicant enters extended care facility (ECF) section of NF: MED is the first day of the month of entry to ECF. ECF entry establishes medical necessity (MN). Whenever the person moved from ECF or stopped meeting the Medicare care definition of skilled nursing facility, then MN is required. If time in ECF is in any prior months, the MED is the first day of any of the 3MP. Individual enters NF from the community: MED may be the first day of any of the 3MP to the application file date. Use the SSI income limit for financial eligibility purposes if the person was not in the facility for any part of the month. Individual enters facility from the hospital: MED may be the first day of any of the 3MP to the application file date. Use the special income limit for the month of entry to the facility.

loading…

What to do if:

Official source

Situation Determination Applicant enters extended care facility (ECF) section of NF: MED is the first day of the month of entry to ECF. ECF entry establishes medical necessity (MN). Whenever the person moved from ECF or stopped meeting the Medicare care definition of skilled nursing facility, then MN is required. If time in ECF is in any prior months, the MED is the first day of any of the 3MP. Individual enters NF from the community: MED may be the first day of any of the 3MP to the application file date. Use the SSI income limit for financial eligibility purposes if the person was not in the facility for any part of the month. Individual enters facility from the hospital: MED may be the first day of any of the 3MP to the application file date. Use the special income limit for the month of entry to the facility.