Posts Tagged ‘Medicare Eligibility’

At Goldfarb Abrandt Salzman & Kutzin LLP, all-too-often we hear from older adults who have been denied home care that should be covered by (https://www.medicare.gov/) Medicare because of a provider’s overly restrictive interpretation of the rules. In many cases, providers tell patients that they no longer qualify for care because they are no longer “homebound” […]

For many New Yorkers, Medicaid benefits are a vital part of their overall health care plan. Maintaining these benefits are a crucial step toward ensuring they and their families receive needed medical care. However, some Medicaid recipients must first apply for Medicare as a condition of their eligibility for Medicaid. The experienced New York elder […]

The Jimmo Case and the Medicare Improvement Standard

January 5th, 2018 by David Goldfarb

A settlement agreement in the 2013 case of Jimmo v. Sebelius clarified the “improvement standard” that Medicare used when determining when to grant benefits for skilled nursing care, outpatient therapy, or home health care. Now, anyone seeking benefits for these types of care should fully know their rights under the agreement. Prior to the case, […]