Using the SSA-186, obtain a physician's written certification stating whether they
expect the recipient’s medical confinement to last less than 90 full consecutive days,
beginning with the day after the recipient entered the institution.
For example, if the recipient entered a medical facility on August 1, the certification
must establish that the physician expects the facility to discharge the recipient
on October 30 or earlier. The 90 full consecutive days would be August 2 through October
Document the physician's certification of a 90 day or less stay by accepting the SSA-186
via mail, fax, or delivery to the FO from the recipient, representative payee or physician.
If the SSA-186 is unavailable, and you are unable to obtain, consider the following
alternative acceptable forms of evidence:
accept the physician's written statement via mail, fax, or delivery to the FO from
the recipient, representative payee, or physician; or
accept other records which reflect a physician's written statement; or
use information from the attending physician's written records; or
use information from a reliable source (e.g., hospital staff) such written certification