Provider Based and Excluded Unit Reviews
Provider Based
NOTE: Do not submit your provider-based attestation until an 855 application for your additional location has been submitted. Review on the provider-based attestation CANNOT begin until the corresponding 855 application has been received.
NOTE: Do not submit your provider-based attestation unless all of the necessary information is included and/or available. For example, if you have not included a copy of the license showing that the main and provider-based facility are operated under the same license, or support showing that your state does not allow this, a missing information letter will be issued requesting such information. If the request is not met within 30 days, the provider-based attestation must be recommended for denial due to missing information per Change Request 2411, issued April 18, 2003. To avoid such a denial you should hold off on submitting the attestation until all information is available.
Attestation and Self Reporting
Excluded Unit Reviews
Inpatient Rehabilitation Facility (IRF) Classification Requirements
IRF (75% Rule) Requirements Enforcement Implementation
Page Last Updated: Thursday, 04-Sep-2008 10:25:30 CDT
