US · guidance
CMS Pub. 100-02, ch. 8, § 20.3.1.6
Impact on Spell of Illness
The SNF days during the sanction period will be used to track breaks in the spell of
illness. A beneficiary’s care in an SNF met the skilled level of care standards if a
Medicare SNF claim for the services provided in the SNF was denied on grounds other
than that the services were not at a skilled level of care. If the patient is receiving a
skilled level of care the benefit period cannot end.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
6a4581206303f25ebc690d51d862dcab9ddbf252267afcb73dfa7947a60ca67a
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