New Fact Sheet Available – Medicare Inpatient Rehabilitation Hospital/Facility Coverage In Light of Jimmo v. Sebelius

With support from the John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Fact Sheet to help Medicare beneficiaries and their families respond to unfair Medicare denials for care at inpatient rehabilitation hospitals/facilities (IRH/F). The Fact Sheet outlines the coverage criteria for IRH/Fs and emphasizes language from the Jimmo Settlement Agreement. Per the Settlement, the Centers for Medicare & Medicaid Services (CMS) revised the Medicare Benefit Policy Manual to clearly state that Medicare does not require an individual receiving IRH/F services to achieve complete independence in self-care or return to a prior level of functioning. Medicare is available to achieve improvement of practical value to the individual or to adapt to one's disability.

• Download the Fact Sheet at https://www.medicareadvocacy.org/wp-content/uploads/2019/04/IRF-JIMMO-Factsheet.pdf.