WHAT IF A BENEFICIARY RESIDES IN AN ASSISTED LIVING FACILITY?
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.