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I am assuming that this person was in the hospital and was transferred to the nursing home for skilled care/rehab with physical therapy and occupational therapy. Once the resident no longer meets skilled level of care criteria, they become either "Private Pay" or "Medicaid". The left over benefit days may be used if the resident needs physical therapy or occupational therapy for the same medical problem (such as a Total Knee replacement) for a limited time period. If the resident does not use their benefit days, then the "clock is reset" with the current Medicare benefits ending and a new 60-day "Wait Period" beginning. If the resident returns to the hospital for the same or a different health problem 60 days after the benefit period ended, then a NEW benefit period of 100 days will begin for that health problem.

Is the resident paying for their stay at the nursing home or have they applied for Medicaid to pay for their stay at the nursing home? The resident could start out "Private Pay" and then once they have "spent down" to the required $2,000, then they might be Medicaid eligible. The resident and/or their POA need to talk to the facility's Social Service Dept. and to the Billing Dept. to determine who is going to pay the nursing home bill.
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