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Form CMS-10036 IRF- PAI version 4.2
IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program (CMS-10036)
IRF-PAI-Version-4.2-Effective-10-01-24-v3_clean
Inpatient Rehabilitation Facility - Patient Assessment Instrument
OMB: 0938-0842
OMB.report
HHS/CMS
OMB 0938-0842
ICR 202405-0938-009
IC 210555
Form CMS-10036 IRF- PAI version 4.2
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0842 can be found here:
2024-08-16 - Revision of a currently approved collection
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