There are no plans to change this requirement. When Congress developed the original legislation, it did not design the SNF benefit to cover nursing home "custodial care". The benefit was envisioned as a less expensive alternative to what would otherwise be the final, convalescent portion of a beneficiary's inpatient hospital stay, not, to cover general long-term nursing home care. Congress gave CMS the authority to eliminate the existing SNF coverage requirement for a qualifying three-day hospital stay if: it does not increase overall program costs; and, does not alter the SNF benefit's "acute care nature" (i.e., orientation towards relatively short-term intensive care)
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