3-day waiver program
See answers to commonly asked questions about the skilled nursing facility 3-day waiver.
What is a SNF and what is a SNF 3-day waiver?
A skilled nursing facility (SNF) is a skilled nursing facility, which may be a nursing home facility or dedicated beds in a hospital. Regular Medicare health insurance will only pay for someone to receive care in a SNF if they have previously been hospitalized in a hospital for a minimum of three days within the last 30 days before being admitted to the SNF.
A SNF 3-day waiver allows a Medicare beneficiary (someone who receives Medicare insurance) to go to a SNF without first having a minimum 3-day stay in a hospital, as long as they meet skilled criteria. That is, a person must require medical or rehabilitative services that cannot be provided in their home or other setting.
A SNF 3-day waiver allows a Medicare beneficiary (someone who receives Medicare insurance) to go to a SNF without first having a minimum 3-day stay in a hospital, as long as they meet skilled criteria. That is, a person must require medical or rehabilitative services that cannot be provided in their home or other setting.
Who can use a SNF 3-day waiver?
If you are a Medicare insurance beneficiary who sees an ACO physician, you are likely to be assigned by Medicare to our ACO and would then be able to use this benefit if you need to.
How do I know if I am an ACO beneficiary?
If you are receiving one of our Keystone ACO newsletters, you are currently assigned to our ACO by Medicare. If you are reading this newsletter but you’re unsure if you are a KACO beneficiary, there’s no need to worry. Your doctors and other ACO providers and care coordinators will let you know and work with you to make arrangements for a SNF 3-day waiver admission, should you ever need one.
Can I use the SNF 3-day waiver at any skilled nursing facility?
The ACO can only use the SNF 3-day waiver at facilities that are of high quality, have contracted the ACO and were approved by Medicare to provide care for our Keystone ACO beneficiaries who qualify for it. A list of current SNFs that have a three-star rating or higher in CMS Nursing Home Compare will provided to each beneficiary at the time of need as part of a Medicare-required letter stating your rights as a Medicare insurance recipient.
If I see an ACO provider but I am not a KACO beneficiary, can I sign up to be an ACO beneficiary?
Individuals cannot sign up to be in an ACO. Doctors, practitioners and healthcare organizations can contract with Medicare to become an ACO, just as Keystone ACO providers have. Patients can assign themselves to a primary care provider by going to medicare.gov, creating an account and assigning themselves to the main doctor they see for primary care (their family doctor). If that doctor/provider is in an ACO, they will be assigned to the ACO their doctor is contracted with.
For additional questions, contact Keystone ACO or call Medicare at 800-MEDICARE (800-633-4227) 24 hours a day, 7 days a week. TTY users can call 877-486-2048.
For additional questions, contact Keystone ACO or call Medicare at 800-MEDICARE (800-633-4227) 24 hours a day, 7 days a week. TTY users can call 877-486-2048.
Who are our Affiliated 3-Day Waiver SNF Communities?
| Facility name | Street address | City |
| Allied Services Center City Skilled Nursing | 80 Northampton St. | Wilkes-Barre |
| Allied Services Meade Street Skilled Nursing | 200 S. Meade St. | Wilkes-Barre |
| Allied Services Scranton Transitional Rehab Unit | 475 Morgan Highway | Scranton |
| Barnes-Kasson County Hospital | 2872 Turnpike St. | Susquehanna |
| Bucktail Medical Center | 1001 Pine St. | Renovo |
| Carbondale Nursing and Rehabilitation | 10 Hart Place | Carbondale |
| Elan Skilled Nursing and Rehab | 1101 Vine St. | Scranton |
| Foxdale Village | 500 E. Marylyn Ave. | State College |
| The Gardens at York Terrace | 2401 W. Market St. | Pottsville |
| Geisinger Jersey Shore Hospital | 1020 Thompson St. | Jersey Shore |
| Green Ridge Care Center | 2741 Boulevard Ave. | Scranton |
| Heinz Transitional Rehabilitation Unit | 150 Mundy St. | Wilkes-Barre |
| Meadows Nursing and Rehabilitation Center | 4 E. Center St. | Dallas |
| Mid-Valley Health Care Center | 81 Sturges Road | Peckville |
| Mountain Top Rehabilitation & Healthcare LLC | 185 S. Mountain Blvd. | Mountain Top |
| Nottingham Village | 59 Neitz Road | Northumberland |
| Nursing and Rehabilitation at The Mansion | 1040-52 Market St. | Sunbury |
| Orwigsburg Nursing and Rehabilitation Center | 1000 Orwigsburg Manor Drive | Orwigsburg |
| Richfield Healthcare and Rehabilitation Center | 631 Main St. | Richfield |
| Rosewood Rehabilitation and Nursing Center | 401 University Drive | Schuylkill Haven |
| Schuylkill Center | 1000 Schuylkill Manor Road | Pottsville |
| Seton Manor Nursing and Rehabilitation Center | 1000 Seton Drive | Orwigsburg |
| St. Mary's Villa Nursing Home | 516 St. Mary’s Villa Road | Moscow |
| Tremont Health & Rehabilitation Center | 44 Donaldson Road | Tremont |
| Valley View Haven Inc. | 4702 E. Main St. | Belleville |
| Valley View Rehab & Nursing Center | 2140 Warrensville Road | Montoursville |
| Wayne Memorial Hospital | 601 Park St. | Honesdale |
| Wayne Woodlands Manor | 37 Woodlands Drive | Waymart |
| The Williamsport Home | 1900 Ravine Road | Williamsport |
| Windy Hill Village of Presbyterian Homes | 100 Dogwood Drive | Philipsburg |
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