Have you been denied payment for Skilled Nursing Maintenance care in Home Health?
The Medicare Advisory Council wants to hear about your experience. See the details below. Your voice matters!
Virtual Jimmo Council Session 3
June 16, 2021
We are writing to you as members of the Center for Medicare Advocacy’s Jimmo Implementation Council or stakeholders in removing barriers to skilled care for people with longer-term, chronic, and debilitating conditions. As you know, the Jimmo Council is a multi-disciplinary community committed to implementing the Jimmo v. Sebelius Settlement Agreement. The Jimmo Settlement confirmed that Medicare coverage of skilled nursing and therapy services in home health, skilled nursing facility, and outpatient therapy settings is available to maintain a person’s condition or to slow or prevent further decline.
In November 2019 and March 2020 the Center convened the Jimmo Council for virtual meetings to hear from guest speakers about their experiences providing and billing for maintenance therapy and care in accordance with Jimmo. A recording of the November web-based meeting is available at https://register.
On June 16, 2021, the Center will once again reconvene the Jimmo Council for a virtual meeting to review the law and hear about experiences providing and billing for maintenance nursing.
Register now at
The Center is seeking guest speakers with experiences implementing the Jimmo Settlement (particularly as it relates to skilled nursing) to present to the Council. If you are interested in being a presenter, or know of someone else who may have insight to share with the Council, please email us at JimmoCouncil@
With support from the John A. Hartford Foundation, the Center for Medicare Advocacy published an Issue Brief regarding Jimmo implementation for Medicare providers prior to the last Jimmo Council session. The Center encourages providers to refer to the Issue Brief to help support the provision of necessary care to maintain or slow decline of an individual’s condition, in accord with the correct standards set out in the Jimmo Settlement.
- The Issue Brief is available on the Center’s website, MedicareAdvocacy.org, and can be accessed by going to www.MedicareAdvocacy.org/
The Center for Medicare Advocacy (www.medicareadvocacy.org), established in 1986, is a national nonprofit, nonpartisan law organization that provides education, advocacy and legal assistance to help older people and people with disabilities obtain access to Medicare and quality health care. CMA focuses on the needs of Medicare beneficiaries, people with chronic conditions, and those in need of long-term care. The organization is involved in writing, education, and advocacy activities of importance to Medicare beneficiaries nationwide.
The John A. Hartford Foundation (www.jhartfound.org), founded in 1929 by John and George Hartford of the Great Atlantic & Pacific Tea Company (A&P), based in New York City, is a private, nonpartisan philanthropy dedicated to improving the care of older adults. Every eight seconds, someone in America turns 65. The largest-ever generation of older adults is living and working longer, redefining later life, and enriching our communities and society. Comprehensive, coordinated, and continuous care that keeps older adults as healthy as possible is essential to sustaining these valuable contributions. The John A. Hartford Foundation believes that investments in aging experts and innovations can transform how care is delivered, lowering costs and dramatically improving the health of older adults.
Center for Medicare Advocacy, Inc. • www.MedicareAdvocacy.org
PO Box 350, Willimantic, CT 06226 • 1025 CT Ave. NW, Washington, DC 20036