Decision guide

Hospital discharge to skilled nursing

Questions to ask before a post-acute transfer.

Before accepting a placement

Ask which facilities can meet the ordered nursing and therapy needs, whether they are in network, and how transportation and medication reconciliation will work.

Goals and timing

Request the expected therapy schedule, measurable goals, review dates, family training, and the conditions for discharge home or transfer to another setting.

Coverage is individual

A hospital referral does not itself guarantee Medicare or insurer payment. Confirm authorization, cost sharing, and appeal rights with the plan or administering program.

Official sources and next step

Rules, data, and individual eligibility can change. Check the dated official source and confirm the facility, contract, clinical fit, and payment details directly.

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