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Skilled Nursing

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Skilled Nursing Facility Benefits

Effective May 1, 2010 TRICARE For Life began to require authorization for Skilled Nursing Facility (SNF) care once TRICARE becomes the primary payer. By law TRICARE is the last payer after all other insurance or benefit plans, to include Medicare. Absent other health insurance coverage or upon Medicare coverage exhausting, TRICARE becomes primary payer on day 101 of the inpatient SNF stay. In order to avoid continued coverage issues or payment penalties it is advisable to submit your authorization request with supporting documentation on day 90 of the inpatient stay.

For additional information on Skilled Nursing Facility guidelines click here.

For additional information on Skilled Nursing Facility authorizations click here.