---
kind: "section"
citation: "42 C.F.R. § 456.360"
title: "42"
number: "456.360"
heading: "Certification and recertification of need for inpatient care."
url: "https://uscodex.org/cfr/42/456.360"
---

# §456.360. Certification and recertification of need for inpatient care.

- (a) **Certification.**
  - (1) A physician must certify for each applicant or beneficiary that ICF services are or were needed.
  - (2) The certification must be made at the time of admission or, if an individual applies for assistance while in an ICF, before the Medicaid agency authorizes payment.
- (b) **Recertification.**
  - (1) A physician, or physician assistant or nurse practitioner (as defined in [§ 491.2](/cfr/42/491.2.md) of this chapter) acting within the scope of practice as defined by State law and under the supervision of a physician, must recertify for each applicant or beneficiary that ICF services are needed.
  - (2) Recertification must be made at least—
    - (i) Every 12 months after certification in an institution for Individuals with Intellectual Disabilities or persons with related conditions; and
    - (ii) Every 60 days after certification in an ICF other than an institution for Individuals with Intellectual Disabilities or persons with related conditions.

## Notes

### Amendments

[46 FR 48561, Oct. 1, 1981, as amended at 50 FR 33034, Aug. 16, 1985]

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 43 FR 45266, Sept. 29, 1978, unless otherwise noted.

### Amendments

[46 FR 48561, Oct. 1, 1981, as amended at 50 FR 33034, Aug. 16, 1985]