A local hospital is insisting that my grandmother discharge to a skilled nursing facility even though she has met Medicare criteria for inpatient rehab admission. We even have an order from the doctor for discharge to inpatient rehab. We've stated what rehab provider we would like to consult, but the discharge planner has told us that the provider would not accept my grandmother and that the provider is out of my grandmother's network... but my grandmother has Medicare. There is no network. As of today, the rehab provider we prefer still has not been consulted by my grandmother's case manager. Is this hospital operating within CMS guidelines with this type of behavior? What can we or the rehab provider we've chosen do about this. Our preferred rehab provider has explained that they can not become involved in my grandmother's care unless they are called by hospital staff to do so.