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Covers background on the SNF 3-Day Rule, waiver eligibility for beneficiaries and SNF affiliates, beneficiary protections including a 90-day grace period, and processes for applying for the waiver. 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REVISION/CHANGE DESCRIPTION | AFFECTED AREA |\n| --- | --- | --- | --- |\n| 1 | 04/2016 | Initial creation of the final document. | All |\n| 2 | 06/2016 | Updated the SNF Affiliate Agreements, and added requirements in Section 9. | Section 5 ; Section 9 |\n| 3 | 12/2016 | Updated document for clarification and formatted into new template. | All |\n| 3 | 06/01/2017 | Updated to include coverage of the Medicare ACO Track 1+ Model and added new sections. | All; Sections 4 , 8 , 9 , and 10 |\n| 4 | 08/01/2017 | Added link to the SNF Affiliate Agreement template. | Section 6 |\n| 4 | 08/01/2017 | Updated the 2018 SNF Affiliate List Review Schedule. | Table 1 |\n| 5 | 12/14/2017 | Updated to reflect the 2018 Physician Fee Schedule final rule (82 FR 53371) . | Section 2 |\n| 5 | 12/14/2017 | Revised consistent with the final rule (82 FR 53371) removing reference to ACOs submitting SNF affiliate star-rating documentation. | Section 5.2.2 |\n| 5 | 12/14/2017 | Removed SNF Affiliate Change Request Review Schedule and added clarifying language on change requests. | Formerly Table 1, Section 5.1.2 |\n| 5 | 01/11/2018 | Added information about the transition to anew electronic management system. | Important Notice |\n\nTable of Contents  \nImportant Notice ............................................................................................................ 1  \n1 Executive Summary ........................................................................................... 2  \n2 Introduction......................................................................................................... 3  \n2.1 Statutory & Regulatory Background ............................................................ 3  \n3 SNF 3-Day Rule Waiver Overview ..................................................................... 4  \n3.1 Background on the SNF 3-Day Rule ........................................................... 4  \n3.2 Overview of the SNF 3-Day Rule Waiver..................................................... 4  \n3.3 Applying for a SNF 3-Day Rule Waiver........................................................ 5  \n4 SNF 3-Day Rule Waiver Eligibility ..................................................................... 6  \n4.1 Beneficiary Eligibility for the SNF 3-Day Rule Waiver.................................. 6  \n4.2 SNF Eligibility for the SNF 3-Day Rule Waiver ............................................ 7  \n4.3 Beneficiary Protections and 90-Day Grace Period ...................................... 7  \n5 SNF Affiliate List ................................................................................................. 8  \n5.1 SNF Affiliate List Requirements ................................................................... 8  \n5.1.1 SNF Affiliate List Review Cycle ............................................................. 9  \n5.1.2 SNF Affiliate List Change Request Process ........................................ 10  \n5.2 SNF Affiliate List Data Validation Tools ..................................................... 11  \n5.2.1 Verifying Medicare Enrollment ............................................................ 11  \n5.2.2 CMS 5-Star Quality Rating System ..................................................... 11  \n6 SNF Affiliate Agreements ................................................................................ 11  \n6.1 SNF Affiliate Agreement Requirements ..................................................... 12  \n6.2 Executed SNF Affiliate Agreement Requirements ..................................... 14  \n7 ACO and SNF Affiliate Communication Plan ................................................. 14  \n8 SNF 3-Day Rule Waiver Medicare Claims Processing................................... 15  \n9 SNF 3-Day Rule Waiver Beneficiary Communications .................................. 16  \n10","cbCaiaLpQKNfi28b","https://ap.wps.com/l/cbCaiaLpQKNfi28b","pdf",359661,"English","# Important Notice\n## Table of Contents\n# 1 Executive Summary\n# 2 Introduction\n## 2.1 Statutory & Regulatory Background\n# 3 SNF 3-Day Rule Waiver Overview\n## 3.1 Background on the SNF 3-Day Rule\n## 3.2 Overview of the SNF 3-Day Rule Waiver\n## 3.3 Applying for a SNF 3-Day Rule Waiver\n# 4 SNF 3-Day Rule Waiver Eligibility\n## 4.1 Beneficiary Eligibility for the SNF 3-Day Rule Waiver\n## 4.2 SNF Eligibility for the SNF 3-Day Rule Waiver\n## 4.3 Beneficiary Protections and 90-Day Grace Period\n# 5 SNF Affiliate List\n## 5.1 SNF Affiliate List Requirements\n## 5.2 SNF Affiliate List Data Validation Tools\n# 6 SNF Affiliate Agreements\n## 6.1 SNF Affiliate Agreement Requirements\n## 6.2 Executed SNF Affiliate Agreement Requirements\n# 7 ACO and SNF Affiliate Communication Plan\n# 8 SNF 3-Day Rule Waiver Medicare Claims Processing\n# 9 SNF 3-Day Rule Waiver Beneficiary Communications\n# 10 SNF 3-Day Rule Waiver Public Reporting Requirements\n# 11 SNF 3-Day Rule Waiver Compliance\n# Appendix A","[{\"question\":\"Who is eligible to use the SNF 3-Day Rule waiver under this guidance?\",\"answer\":\"The waiver is available to Track 3 Medicare Shared Savings Program Accountable Care Organizations (ACOs) and to ACOs participating in the Medicare ACO Track 1+ Model.\"},{\"question\":\"What system transition and blackout period affects SNF affiliate list change requests?\",\"answer\":\"CMS targets April 2, 2018 for launch of the new ACO Management System (ACO-MS). ACOs use HPMS until March 2, 2018 for SNF affiliate list change requests and will not access HPMS or ACO-MS from March 3, 2018 to April 1, 2018.\"},{\"question\":\"What is included in the document regarding waiver administration?\",\"answer\":\"It outlines waiver eligibility and beneficiary protections, the SNF affiliate list and data validation tools, SNF affiliate agreements, an ACO/SNF communication plan, Medicare claims processing, beneficiary communications, public reporting, and compliance.\"}]","Medicare Shared Savings Program - Skilled Nursing Facility 3-Day Rule Waiver - Guidance Document - February 2018 Version 5 | PDF",1789571426,7]