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Fact Sheet: Improving Access to Care for Medicare Advantage Beneficiaries
Congressional action is needed to ensure greater oversight of MA plans as these rules are implemented and to enable CMS to enforce existing regulations designed to protect beneficiary access to medically necessary services.
Fact Sheet: 96-Hour Certification Requirement
In order for a Critical Access Hospital (CAH) to receive payment under Medicare Part A, Medicare currently requires physicians to certify that patients will be reasonably discharged or transferred to another hospital within 96 hours.