Silver State ACO, through its participation in the MSSP Enhanced Track, is eligible to utilize the SNF Three-Day Waiver Program provided very specific criteria are met.
The SNF Three-Day Waiver program waives the requirement for a three-day inpatient hospital stay prior to a Medicare-covered, post-hospital, extended-care service for eligible beneficiaries.
In order to be eligible to receive covered SNF services under the waiver, a beneficiary must be currently attributed to Silver State ACO. Additionally, beneficiaries must meet the following requirements:
Eligible beneficiaries will be referred to affiliated SNFs which have contracted with Silver State ACO to participate in the SNF Three-Day Waiver program. The referral for SNF Three-Day waiver admission can be initiated by outpatient ACO physicians, emergency departments, observation/short stay and inpatient acute care settings. The requesting entity must contact Silver State ACO’s Care Management Partner, USHS at 833-208-0588, to assist in the review of eligibly and direction on the process to admit under the SNF Three-Day Waiver program.
Below are relevant forms and a link to USHS’s website.
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Silver State ACO
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