IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program (CMS-10036)

ICR 202405-0938-009

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0842 can be found here:

Forms and Documents

Document Name	Status
Form CMS-10036 Inpatient Rehabilitation Facility - Patient Assessment Instrument Form and Instruction	Modified
CMS-10036-Supporting-Statement-A-4.3_Changes to 4.2(F2).docx Supporting Statement A	2024-05-07

IC Document Collections

IC ID	Document Title	Status
210555	Inpatient Rehabilitation Facility - Patient Assessment Instrument Form and Instruction	Modified

ICR Details