StacksVerified U.S. regulatory reference

42 CFR §424.27

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
Medicare Part B pays for CORF services only if a physician certifies, and the facility physician recertifies, the content specified in paragraphs (a) and (b)(2) of this section, as appropriate.
  1. (a)Certification: Content.
    1. (1)The services were required because the individual needed skilled rehabilitation services;
    2. (2)The services were furnished while the individual was under the care of a physician; and
    3. (3)A written plan of treatment has been established and is reviewed periodically by a physician.
  2. (b)Recertification—(1) Timing. Recertification is required at least every 60 days for respiratory therapy services and every 90 days for physical therapy, occupational therapy, and speech-language pathology services based on review by a facility physician or the referring physician who, when appropriate, consults with the professional personnel who furnish the services.
    1. (2)Content.
      1. (i)The plan is being followed;
      2. (ii)The patient is making progress in attaining the rehabilitation goals; and,
      3. (iii)The treatment is not having any harmful effect on the patient.