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WHAT IF A BENEFICIARY RESIDES IN AN ASSISTED LIVING FACILITY?

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WHAT IF A BENEFICIARY RESIDES IN AN ASSISTED LIVING FACILITY?

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If it is determined that the assisted living facility (also called personal care homes, group homes etc) in which the beneficiaries reside are not primarily engaged in providing: o Diagnostic and therapeutic services for medical diagnosis, treatment, care of disabled or sick persons o Care or related services for patients who require medical or nursing care o Rehabilitation services for the rehabilitation of injured, sick, or disabled persons then Medicare will cover reasonable and necessary home health care to these individuals.

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