An SNF provides, directly or by contract, room, board, skilled nursing and rehabilitation services on a 24-hour a day basis to assist patients to reach their optimal level of functioning. ICF provides directly or by contract, health related care and services to individuals who do not require the degree of care and treatment that an SNF is designed to provide but who do require care above the level of room and board that can be made available only in institutional facilities. A facility or program provided in accordance with the requirements of 42 CFR Subpart D of Part 44l and accredited by JCAH for the purpose of serving children and adolescents under 2l years of age. Rehabilitation Center Services Coverage of Rehabilitation Center Services is limited to Medicare certified nursing facilities, licensed by, and approved for participation in the Medicaid program in the State in which located and enrolled in the Vermont Medicaid program.
Care is supervised by physician specialists.
The discharge plan will provide for the active participation and training of family members, if appropriate. Rehabilitation centers must receive authorization from the Medicaid Director or a designee prior to admission or for those with insurance benefits before the expiration of such benefits. Reauthorizations for continued Medicaid coverage are required at three-month intervals after initial authorization. Requests for reauthorization must be received no later than thirty days before the expiration of an authorized period of coverage. Under no condition will authorization be made beyond two years.