CMS issued Change Request (CR) 14635 to update the Medicare Benefit Policy Manual, Publication 100-02, Chapter 1, Sections 110.1 and 110.2, with revised guidance for inpatient rehabilitation facility (IRF) services.

The updates clarify requirements for the initial interdisciplinary team conference (ITC) and the timing of required therapy services. The initial ITC must occur on or before the fourth day after the patient's admission, counting the admission date as Day One. In addition, all required therapy treatments must begin no later than 36 hours from midnight on the Day of Admission.

IRFs are encouraged to review these manual changes and ensure applicable staff are aware of the updated guidance. See MLN Matters MM14635 for additional information.