Medicare Benefit Policy Manual (Pub. 100-02), Ch. 2 § 40
Personnel Requirements
40 - Personnel Requirements
(Rev. 59, Issued: 11-09-06, Effective: 01-01-05, Implementation: 12-04-06)
IPFs must have adequate numbers of qualified professional and supportive staff,
according to 42 CFR 412.27 and 42 CFR 482.62.
IPFs must employ or undertake to provide adequate numbers of qualified professional,
technical, and consultative personnel to:
(1) Evaluate patients;
(2) Formulate written individualized, comprehensive treatment plans;
(3) Provide active treatment measures; and
(4) Engage in discharge planning.
Doctors of medicine or osteopathy and other appropriate professional personnel must be
available to provide necessary medical and surgical diagnostic and treatment services. If
medical and surgical diagnostic and treatment services are not available within the
institution, the institution must have an agreement with an outside source of these
services to ensure that they are immediately available or a satisfactory agreement must be
established for transferring patients to a general hospital that participates in the Medicare
program.