Inpatient Rehabilitation Facility - Patient Assessment Instrument

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

IC ID: 210555

Documents and Forms

Document Name Document Type
Form CMS-10036 Inpatient Rehabilitation Facility - Patient Assessment Instrument Form and Instruction
CMS-10036 IRF- PAI version 4.2 IRF-PAI-Version-4.2-Effective-10-01-24-v3_clean.docx Form and Instruction
Final-Specifications-for-IRF-QRP-Quality-Measures-and-SPADEs.pdf Instruction
CMS-10036 IRF- PAI version 4.4 IRF-PAI-Version-4.4.docx Form and Instruction
IRF-PAI-Version-4.4_redlined.pdf IRA-PAI Track Change version IC Document