Effective Oct. 1, 2007, Medicare will begin to accept a present-on-admission (POA) indicator for every diagnosis on inpatient acute care hospital claims; however, providers must submit the POA on hospital claims beginning with discharges on or after Jan. 1, 2008. Critical access, Maryland waiver, long-term care, cancer, and psychiatric hospitals, as well as inpatient rehabilitation and children’s inpatient facilities, are exempt from this requirement. Find more information on this requirement.