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US · guidance

CMS Pub. 100-02, ch. 7, § 40.2

Skilled Therapy Services

activein force · 2026-08-25 – presentas-observed

A3-3118.2, HHA-205.2

To be covered as skilled therapy, the services must require the skills of a qualified

therapist and must be reasonable and necessary for the treatment of the patient’s illness or

injury as discussed below. Coverage does not turn on the presence or absence of an

individual’s potential for improvement, but rather on the beneficiary’s need for skilled

care.

History

(Rev. 179, Issued: 01-14-14, Effective: 01-07-14, Implementation: 01-07-14)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
371a7c95d1183c6e9898229de29071e07f0cf4784dae1582133054929f7c8948
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