Medicare and Medicaid Coverage for Skilled Nursing in St. Louis

Understanding your insurance options shouldn't be complicated. Oak Knoll is both Medicare and Medicaid certified (CMS Provider #265680).

Frequently Asked Questions

Does Medicare cover skilled nursing facility care?

Yes. Medicare Part A covers skilled nursing facility (SNF) care when medically necessary following a qualifying 3-day inpatient hospital stay. Coverage includes up to 100 days per benefit period: days 1–20 are fully covered, and days 21–100 require a daily copay ($204.50 in 2025). Oak Knoll is Medicare certified — CMS Provider #265680.

What is the 3-day hospital rule for Medicare skilled nursing coverage?

To qualify for Medicare-covered skilled nursing care, you must have a qualifying inpatient hospital stay of at least 3 consecutive days (not counting the discharge day). Observation stays do not count toward this requirement. You must be admitted to the SNF within 30 days of hospital discharge. Oak Knoll's admissions team can verify your eligibility — call (314) 521-7419.

Does Medicaid cover nursing home care in Missouri?

Yes. Missouri Medicaid (MO HealthNet) covers long-term nursing home care for eligible residents. Eligibility is based on both medical need (requiring a nursing facility level of care) and financial criteria. Oak Knoll is Medicaid certified and our admissions team assists families with the Medicaid application process.

What is the difference between Medicare and Medicaid coverage for skilled nursing?

Medicare Part A covers short-term skilled nursing care (up to 100 days) following a hospital stay, focused on rehabilitation and recovery. Medicaid covers long-term nursing home care for residents who meet medical and financial eligibility requirements. Many residents use Medicare for initial rehab and then transition to Medicaid for ongoing long-term care. Oak Knoll accepts both.

How do I apply for Medicaid for nursing home care in Missouri?

You can apply through Missouri's Family Support Division (FSD) online, by phone, or in person. The process involves a medical assessment and financial evaluation. Oak Knoll's admissions team and social services department help families navigate the entire Medicaid application process at no charge. Call (314) 521-7419 to get started.

Does Oak Knoll accept Medicare Advantage plans?

Yes. Oak Knoll accepts most Medicare Advantage (Part C) plans in addition to traditional Medicare. Coverage terms vary by plan. Contact our admissions team to verify your specific plan's coverage for skilled nursing services.