Implementing the 3-Day Skilled Nursing Facility Waiver: Key Insights

James S. Newman, Kristin S. Johnson, Tia J. Meyer, Victoria L. Anderson, Lori J. Baumbach, Amy R. Hunt Tjornhom, Leanne Y. Lexvold, James W. Manz, Gerald J. Sobolik, Kathleen A. Madden, Division of Hospital Medicine and Geriatrics Mayo Clinic, Rochester Minnesota, Eau Claire, Department of Administration, Mayo Clinic Health System in Northwest Wisconsin, Eau Claire, Strategy Department, Mayo Clinic Health System in Northwest Wisconsin, Eau Claire, Integrity and Compliance Office, Mayo Clinic Health System in Northwest Wisconsin, Eau Claire, Department of Nursing, Mayo Clinic Health System in Northwest Wisconsin, Eau Claire, Department of Orthopedics, Mayo Clinic Health System in Northwest Wisconsin, Eau Claire, Department of Mayo Clinic Health System Administration, Mayo Clinic Health System in Northwest Wisconsin, Eau Claire

Journal of Primary Care & Community Health

Published online on May 30, 2026

Abstract

Journal of Primary Care & Community Health, Volume 17, January-December 2026.
IntroductionThe Centers for Medicare & Medicaid skilled nursing facility (SNF) 3-day waiver permits patients attributed to an Accountable Care Organization (ACO) to be admitted to an SNF or transitional care unit from an emergency department, outpatient ...