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us/manual/ssa/poms/hi/00601.130 — POMS HI 00601.130: Prior Hospitalization and Transfer Requirements · Axiom
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POMS HI 00601.130: Prior Hospitalization and Transfer Requirements
15 sections
A. General
B. Three-day prior hospitalization
1. General
2. Medical appropriateness exception
a. Medical needs are Predictable
b. Medical needs are not predictable
c. SNF stay prior to beginning of deferred covered treatment
d. Effect of delay in initiation of deferred care
e. Effect on spell of illness
3. Readmission to an SNF
4. Transfer rules
a. General
b. Nonavailability of appropriate bed space in a participating SNF
c. Medical appropriateness
d. Readmission to an SNF