Disposition of Certification and Recertifications for Extended

40.6 - Disposition of Certification and Recertifications for Extended Care Services (Rev. 1, 09-11-02) Skilled nursing facilities do not have to transmit certification and recertification statements to the A/B MAC (A); instead, the facility must itself certify, in the admission and billing form that the required physician certification and recertification statements have been obtained and are on file.