Form CMS-437 Psychiatric Unit Criteria Worksheet

Psychiatric Unit Criteria Work Sheet and Supporting Regulations in 42 CFR 412.25 and 412.27 (CMS-437)

CMS-437 form & guidance.tif

Psychiatric Unit Criteria Work Sheet, Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet, and Supporting Regulations at 42 CFR 488.26

OMB: 0938-0358

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0358 can be found here:

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