LCDActive
Home Health Skilled Nursing Care-Teaching and Training: Alzheimer's Disease and Behavioral Disturbances
L34562
Effective: August 7, 2025
Updated: December 31, 2025
Policy Summary
This LCD covers skilled nursing teaching and training in the home health setting for Medicare beneficiaries with Alzheimer's disease and behavioral disturbances when services are based on the patient's medical condition and individualized assessment. Documentation must fully characterize each behavior and justify the care plan, interventions, and the number of training visits as reasonable and necessary; services are not covered if caregivers cannot or will not be trained after a reasonable period.
Coverage Criteria Preview
Key requirements from the full policy
"Medicare home health beneficiaries with Alzheimer's disease and behavioral disturbances are eligible for skilled nursing teaching and training activities to teach family/caregivers how to manage be..."
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