US · guidance
CMS Pub. 100-04, ch. 30, § 200.3.4.1
First IM
Hospitals must deliver the first copy of the IM at or near admission, but no later than 2
calendar days following the date of the beneficiary’s admission to the hospital.
Hospitals may deliver the first copy of the notice if the beneficiary is seen during a
preadmission visit, but not more than 7 calendar days in advance of admission.
A hospital must deliver the IM to all inpatients, including those in the hospital for a short
stay.
• Once the discharge date is planned, a hospital does not need discharge orders in
advance of delivering the IM.
Timing of First IM Delivery
Pre-Admission
Up to 7 days before admission
At Admission
At admission
After Admission Up to 2 days following admission
History
(Rev. 11210; Issued: 01-21-2022; Effective: 04-21-2022; Implementation: 04-21- 2022)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
121e636cc9ee18e523e51c2d936d80937d478ef56522fac4e513dfb43a082ff9
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.