Jul 9, 2026 · 5 min · 5 segments
Send us Fan Mail Do you understand Medicare's 3-day Rule Waiver? Does your admissions team know how the ACO models of REACH & TEAM work?
If you are participating in an accountable care organization program, a couple of examples of that are REACH or TEAM.
Participants in these models track participants with an approved SNF three-day rule waiver, and they can offer SNF services without a prior three-day inpatient hospitalization.
This waiver may apply when the patient meets eligibility criteria and is admitted to an approved SNF.
How does a nursing home resident get into a three-day rule waiver program? Well, you can't request that.
That would be nice, wouldn't it? Eligibility is determined by the ACO and the participating SNF.
Resident is in one of those accountable care organizations that Medicare approves, of course, cannot sign up for this ahead of time.
The resident may be seen in the ED, they may be under observation, they may be in an outpatient setting, or have an inpatient stay of fewer than three days.
The resident is admitted to a participating SNF, and then you can stay under the waiver.
If you are not eligible or the SNF is not approved ahead of time, then the traditional three-day stay is still required.
If you are participating in an accountable care organization program, a couple of examples of that are REACH or TEAM.
Participants in these models track participants with an approved SNF three-day rule waiver, and they can offer SNF services without a prior three-day inpatient hospitalization.
This waiver may apply when the patient meets eligibility criteria and is admitted to an approved SNF.
How does a nursing home resident get into a three-day rule waiver program? Well, you can't request that.
That would be nice, wouldn't it? Eligibility is determined by the ACO and the participating SNF.
Resident is in one of those accountable care organizations that Medicare approves, of course, cannot sign up for this ahead of time.
The resident may be seen in the ED, they may be under observation, they may be in an outpatient setting, or have an inpatient stay of fewer than three days.
The resident is admitted to a participating SNF, and then you can stay under the waiver.
If you are not eligible or the SNF is not approved ahead of time, then the traditional three-day stay is still required.
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