US · guidance
CMS Pub. 100-02, ch. 2, § 30.2.1
Certification and Recertification Requirements
Medicare Part A pays for inpatient services in an inpatient psychiatric facility only if a
physician certifies and recertifies the need for services consistent with the requirements
given in Pub. 100-01, Medicare General Information, Eligibility and Entitlement Manual,
chapter 4, §10.9, for certification requirements.
The format of all certifications and recertifications and the method by which they are
obtained is determined by the individual facility. No specific procedures or forms are
required. The provider may adopt any method that permits verification of all the IPFs
requirements to continue treatment. For example, the recertification may be entered on
provider generated forms, in progress notes, or in the records (relating to the stay in
question) and must be signed by a physician.
Claim denials may not be made for failure to use a certification or recertification form or
failure to use particular language or format, provided that the medical record
demonstrates the content requirements given at §30.2.1 are met.
History
(Rev. 253, Issued: 12- 14-18, Effective: 01-16-19, Implementation: 01- 16-19)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
af795537f7b11613f60d7ab3050a0e244de9db6c637d4b3c8359403e49ce7e15
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