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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) .
A Level of Care (LOC) is necessary when a member is admitted to a nursing facility and CareSource MyCare will be. paying for long term care services. The Level of Care is a document that references the specific rule in the Ohio. Administrative Code (OAC) that supports the individual requiring care in a nursing home.