Crosswalk

Crosswalk for Changes to the Inpatient Rehabilitation Facility

Patient Assessment Instrument (IRF-PAI) Version 4.2 to 4.3

(CMS-10036; OMB No. 0938-0842)

Section # on Current ADMISSION DRAFT IRF-PAI (10/24)	Type of Change	Rationale for Change
IDENTIFICATION INFORMATION	Remove 14. Admission Class.	Given the changes finalized in the FY 2025 IRF PPS Final Rule (89 FR 64328 and 64329), CMS will remove the item since it is not used in the IRF QRP or payment calculations.
SECTION A: ADMINISTRATIVE INFORMATION	Remove A1250. Transportation (from NACHC©) with citation.	Necessary to implement changes finalized in the FY 2025 IRF PPS Final Rule (89 FR 64321 through 64323; 64326 through 64329).
SECTION R: HEALTH-RELATED SOCIAL NEEDS	New Section of IRF-PAI	Given the changes finalized in the FY 2025 IRF PPS Final Rule (89 FR 64310 through 64323), CMS will create a new section of the IRF-PAI to collect data on health-related social needs
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Add R0310. Living Situation with citation.	Necessary to implement changes finalized in the FY 2025 IRF PPS Final Rule (89 FR 64312 and 64313, 64318 through 64320, 64326 through 64328).
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Add R0320.A and R0320B. Food with citation.	Necessary to implement changes finalized in the FY 2025 IRF PPS Final Rule (89 FR 64313 and 64314, 64320 and 64321, 64326 through 64328).
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Add R0330. Utilities with citation.	Necessary to implement changes finalized in the FY 2025 IRF PPS Final Rule (89 FR 64314 and 64315, 64321, 64326 through 64328).
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Add R0340. Transportation with citation.	Necessary to implement changes finalized in the FY 2025 IRF PPS Final Rule (89 FR 64321 through 64324, 64326 through 64328).

Section # on Current DISCHARGE DRAFT IRF-PAI (10/24)	Type of Change	Rationale for Change
SECTION A: ADMINISTRATIVE INFORMATION	Remove A1250. Transportation (from NACHC©) with citation.	Necessary to implement changes finalized in the FY 2025 IRF PPS Final Rule (89 FR 64321 through 64323; 64326 through 64329).

Crosswalk for Changes to the IRF-PAI Version 4.2 to 4.3 2 of 2