Local Coverage Determinations

Skilled nursing care or therapy services are covered for homebound patients when certified as medically necessary by a physician, who must also provide a documented plan of treatment. Services are not covered if they are primarily custodial or if the patient does not meet homebound criteria. Important documentation includes the physician's plan of care and clinical notes demonstrating the need for skilled services.

"Covered for patients who are homebound and require skilled nursing care or therapy services."

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