42 CFR 424.15
§ 424.15 Requirements for inpatient CAH services.
United States · 42 CFR — Public Health · Status: effective
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- Citation
- 42 CFR 424.15, § 424.15 Requirements for inpatient CAH services, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/205167
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Full text
(a) Medicare Part A pays for inpatient CAH services only if a physician certifies that the individual may reasonably be expected to be discharged or transferred to a hospital within 96 hours after admission to the CAH, and that the services are provided in accordance with § 412.3 of this chapter.
(b) Certification begins with the order for inpatient admission. All certification requirements must be completed, signed, and documented in the medical record no later than 1 day before the date on which the claim for payment for the inpatient CAH service is submitted.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.