Jimmo Settlement Agreement

Jimmo v. Sebelius, No. 5:11-CV17 (D. Vt., 24.1.2013), was a national group action against the Centers for Medicare and Medicaid Services (CMS) on behalf of people with chronic illnesses who have been denied Medicare coverage, on the grounds that they have not improved or have no potential for improvement. In 2013, a U.S. District Court approved the settlement agreement that required CMS to confirm that Medicare coverage is determined by a recipient`s need for skilled care and not by a recipient`s potential for improvement. The applicants were represented by the Center for Medicare Advocacy and Vermont Legal Aid. CMS has published a fact sheet describing Jimmo v. Sebelius.

It`s the colony. Now use this brochure to prove that qualified maintenance services can be covered for skilled care, outpatient therapy and home health care. The Center for Medicare Advocacy has self-help packages to track Medicare coverage, including for skilled care and therapy. [1] Jimmo v. Sebelius, No. 11-cv-17 (D.V.) presented on January 18, 2011. [2] The proposed agreement is www.medicareadvocacy.org/wp-content/uploads/2012/12/Jimmo-Settlement-Agreement-00011764.pdf [3] www.nytimes.com/2012/10/24/opinion/a-humane-medicare-rule-change.html?partner=rssnyt&emc=rss. See also Robert Pear, “Accord to Ease Medicare Rules in Chronic Cases; Longtime Policy Ends, The New York Times, page 1 (October 23, 2012), www.nytimes.com/2012/10/23/us/politics/settlement-eases-rules-for-some-medicare-patients.html.

Prior to the agreement, many recipients who needed care in institutions such as home health or health care facilities found that their rights were being rejected on the grounds that they did not come to an end. In addition, many providers believed that this was the norm and would refuse to provide care. The Center for Medicare Advocacy, along with Vermont Legal Aid, represented the plaintiffs and successfully argued that this interpretation of Medicare`s rules was wrong and prejudicial. The proposed transaction agreement for Jimmo[2] was originally submitted to the Federal District Court on October 16, 2012. The applicants joined the aforementioned defendant, Health and Human Services Minister Kathleen Sebelius, and asked the federal judge to accept the settlement of the case.

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