Jimmo Implementation Update: Where Is CMS?

The Settlement Agreement in Jimmo v. Sebelius, No. 5:11-CV-17 (D. Vt) was approved by a federal district court in January 2013. Unfortunately, more than six years since the Settlement’s approval, the Center for Medicare Advocacy still regularly hears from beneficiaries facing erroneous “Improvement Standard” denials in home health, skilled nursing facility, and outpatient therapy settings. As a result, the Center advises beneficiaries and their families to continue citing the Jimmo Settlement and related materials when challenging denials based on an erroneous “Improvement Standard.”

Source/more: Center for Medicare Advocacy

See also: CMS Statement about Jimmo 

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David Wingate is an estate planning and elder law attorney at Estate and Elder Planning by David Wingate. The Estate and Elder Planning office services clients with powers of attorneys, living wills, Wills, Trusts, Medicaid and asset protection. The Elder Law office has locations in Frederick, Washington and Montgomery Counties, Maryland.

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