US · guidance
CMS Pub. 100-02, ch. 7, § 50.7.1
Impact on Care Provided in Excess of "Intermittent" or "Part-
Time" Care
(Rev. 208, Issued: 04-22-15, Effective: 01-01-15, Implementation: 05-11-15)
Home health aide and/or skilled nursing care, in excess of the amounts of care that meet
the definition of part-time or intermittent, may be provided to a home care patient or
purchased by other payers without bearing on whether the home health aide and skilled
nursing care meets the Medicare definitions of part-time or intermittent.
EXAMPLE: A patient needs skilled nursing care monthly for a catheter change and the
home health agency also renders needed daily home health aide services 24 hours per day
that will be needed for a long and indefinite period of time. The HHA bills Medicare for
the skilled nursing and home health aide services, which were provided before the 35th
hour of service each week, and bills the beneficiary (or another payer) for the remainder
of the care. If the Medicare contractor determines that the 35 hours of care are
reasonable and necessary, Medicare would cover the 35 hours of skilled nursing and
home health aide visits.
History
(Rev. 208, Issued: 04-22-15, Effective: 01-01-15, Implementation: 05-11-15)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
5ae3504cc56b2f574dda22bef5438e8d400da6560cc63665ca130ac3e5dc3a8a
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