CMS Notice on Extension of Physician Certifications and Recertifications for Skilled Nursing Facilities

The Centers for Medicare & Medicaid Services (CMS) is seeking public comments on its proposal to extend the existing information collection requirement for Physician Certifications and Recertifications in Skilled Nursing Facilities. This collection is required under Section 1814(a) of the Social Security Act to ensure that Medicare Part A payments for post-hospital extended care services in SNFs are only made when a physician or authorized practitioner certifies that the beneficiary requires a skilled nursing facility level of care on a daily basis. The documentation must be completed periodically to confirm ongoing medical necessity. CMS estimates 3,882,413 respondents will submit 3,882,413 responses annually, resulting in a total burden of 480,957 hours. Comments must be received by June 5, 2026.

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