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Skilled Care in a SNF is medically necessary if all of the following criteria are met. provided only on an inpatient basis in a SNF. particular medical needs, and accepted standards of medical practice. reasonable in terms of duration and quantity. for continued care in a Skilled Nursing facility(SNF) .
1 It must be primarily and customarily used for a medical purpose; and. 2  It must generally not be useful to a person in the absence of illness or injury; and.  It must be appropriate for use at home. Under a provision of federal law, a skilled nursing facility is not considered home; and.