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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) .
Medicare, for example, defines. medically necessaryas: âServices or supplies that are. needed for the diagnosis or treatment of your medical. condition and meet accepted standards of medical. practice.â. â¢ Medical necessity refers to a decision by your health. plan that your treatment, test, or procedure is. necessary for your health or to treat a diagnosed. medical problem.