---
kind: "section"
citation: "42 C.F.R. § 424.27"
title: "42"
number: "424.27"
heading: "Requirements for comprehensive outpatient rehabilitation facility (CORF) services."
url: "https://uscodex.org/cfr/42/424.27"
---

# §424.27. Requirements for comprehensive outpatient rehabilitation facility (CORF) services.


Medicare Part B pays for CORF services only if a physician certifies, and the facility physician recertifies, the content specified in paragraphs [(a)](#a) and [(b)(2)](#b-2) of this section, as appropriate.

- (a) **Certification: Content.**
  - (1) The services were required because the individual needed skilled rehabilitation services;
  - (2) The services were furnished while the individual was under the care of a physician; and
  - (3) **A written plan of treatment has been established and is reviewed periodically by a physician.**
- (b) **Recertification—**
  - (1) **Timing.** Recertification is required at least every 60 days for respiratory therapy services and every 90 days for physical therapy, occupational therapy, and speech-language pathology services based on review by a facility physician or the referring physician who, when appropriate, consults with the professional personnel who furnish the services.
  - (2) **Content.**
    - (i) The plan is being followed;
    - (ii) The patient is making progress in attaining the rehabilitation goals; and,
    - (iii) **The treatment is not having any harmful effect on the patient.**

## Notes

### Amendments

[53 FR 6634, Mar. 2, 1988, as amended at 72 FR 66405, Nov. 27, 2007]

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.

### Amendments

[53 FR 6634, Mar. 2, 1988, as amended at 72 FR 66405, Nov. 27, 2007]