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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) .
Dental care is medically necessary to prevent and eliminate orofacial. disease, infection, and pain, to restore the form and function of the denti-. tion, and to correct facial disfiguration or dysfunction. The term clinical medical necessity is also often used. Health insurance companies provide coverage only for healthârelated related services that they define or determine to be medically necessary. Medicare, for exam-ple, defines medically necessary as: âServices or supplies that are needed for the diagnosis or treatment of your medical condition and meet ac-cepted standards of medical practice.â MNC is also the benchmark for coverage of dental services under Medicaid.