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 approval of revisions to the Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF-PAI) Version 4.1 that will be effective on October 1, 2024. On April 7, 2023 the Centers for Medicare & Medicaid Services (CMS) issued a notice of proposed rulemaking (NPRM) (88 FR 20950) which proposes modifications to the collection of quality reporting data in the Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP). Specifically, CMS proposes to adopt two new measures and remove three measures from the IRF QRP. Per the NPRM, CMS proposes to require IRFs to start collecting assessment data using the IRF-PAI Version 4.2 for IRF patients beginning October 1, 2024.
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 2027-10-31 and is listed under ICR 202508-0938-008.
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 |