Medicare covers inpatient rehabilitation care if your doctor certifies that you have a medical condition that requires intensive rehabilitation and ongoing medical care. Medicare covers inpatient rehabilitation care if your doctor certifies that you have a medical condition that requires intensive rehabilitation, ongoing medical supervision, and coordinated care from your doctors, other health care providers and therapists. Medicare administrative contractors (MACs) are responsible for determining if centers meet the requirements set out in the 60 percent rule for payment under the Medicare IRF prospective payment system. This determination is made annually at the beginning of each center's cost reporting period and remains in effect during that cost reporting period.
When should Medicare coverage be available for inpatient rehabilitation (hospital)?.
