Inpatient Rehabilitation Facility - Patient Assessment Instrument

Inpatient Rehabilitation Assessment Instrument and Data Set for PPS for Inpatient Rehabilitation Facilities (CMS-10036)

OMB: 0938-0842

IC ID: 210555

Documents and Forms

Document Name Document Type
Form CMS-10036 Inpatient Rehabilitation Facility - Patient Assessment Instrument Form and Instruction
CMS-10036 IRF- PAI version 4.2 IRF-PAI-Version-4.2-Effective-10-01-24-v3_clean.docx Form and Instruction
Final-Specifications-for-IRF-QRP-Quality-Measures-and-SPADEs.pdf Instruction
Crosswalk_IRF-PAI 4.1 to 4.2.doc.docx Crosswalk IC Document
IRF-PAI-Version-4.2-Effective-10-01-24-v3_tc.docx Redline of IRF-PAI - Version 4.2 IC Document