CMS

[Liza22]

can we use CMS waiver of 3 midnight stay if patient wasn't admitted only from the ED , do they have to be admitted?

[Talino]

No, admission is not required but the resident must still meet the requirements for need of skilled service.

The waiver does not apply to residents who have previously exhausted 100 benefit days and continues to received a skilled level of care (tube feeding, ventilator use, unhealed St IV pressure, etc.) with no 60-day wellness period.