OMB control number
IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program (CMS-10036)
OMB 0938-0842 · HHS/CMS.
OMB 0938-0842
The Centers for Medicare & Medicaid Services (CMS) is requesting an extension to the approval of the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) Version 4.4 that will be effective on October 1, 2026. Specifically, we are proposing to change the data submission deadlines for data submitted for the purposes of the IRF QRP. If finalized as proposed, these updates would not add any additional collection burden for IRFs. CMS is asking for an extension of the approval of the IRF-PAI Version 4.4, which will have an October 1, 2026 implementation date. The IRF-PAI Version 4.2 will have a runoff period through September 30, 2026 and sunset when the IRF-PAI Version 4.4 takes effect on October 1, 2026.
The latest form for IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program (CMS-10036) expires 2028-10-31 and is listed under ICR 202607-0938-017.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10036 IRF- PAI version 4.4 | Form and Instruction |
 Form CMS-10036 IRF- PAI version 4.2 | Form and Instruction |
| CMS_10036_Supporting_Statement_A_IRF-PAI_v4.4_FY2027finalrule.docx | Supporting Statement A |
| CMS-10036.Crosswalk_IRF_PAI_version_4.4_508.docx | Supplementary Document |
 Inpatient Rehabilitation Facility - Patient Assessment Instrument |
Form and Instruction |
| Inpatient Rehabilitation Facility - Patient Assessment Instrument |
Form and Instruction |
| Inpatient Rehabilitation Facility - Patient Assessment Instrument |
Form and Instruction |
| Inpatient Rehabilitation Facility - Patient Assessment Instrument |
Form and Instruction |