Program payment will be made for the skilled nursing care the beneficiary receives,
provided all of the following conditions are met:
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A.
The services are ordered by, and included in, the plan of treatment established by
the physician for the patient (see HI 00601.300), and
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B.
The services are required on an intermittent basis (see HI 00601.330), and
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C.
The services are performed by, or under the direct supervision of, a licensed nurse
to assure the safety of the patient and to achieve the medically desired result (see
HI 00601.380), and
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D.
The services are reasonable and necessary to the treatment of an illness or injury
(see HI 00601.340).