Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 4 § 40.5
Delayed Certifications and Recertifications for Extended Care
40.5 - Delayed Certifications and Recertifications for Extended Care
Services
(Rev. 1, 09-11-02)
Skilled nursing facilities are expected to obtain timely certification and recertification
statements. However, delayed certifications and recertifications will be honored where,
for example, there has been an isolated oversight or lapse.
In addition to complying with the content requirements, delayed certifications and
recertifications must include an explanation for the delay and any medical or other
evidence which the skilled nursing facility considers relevant for purposes of explaining
the delay. The facility will determine the format of delayed certification and
recertification statements, and the method by which they are obtained. A delayed
certification and recertification may appear in one statement; separate signed statements
for each certification and recertification would not be required as they would if timely
certification and recertification had been made.