№ files_lp_4_process_1_33921
File format: docx
Character count: 16922
File size: 53 KB
Formal request for extension of the IRF-PAI Version 4.0 detailing legal requirements, data collection standards, and operational procedures for inpatient rehabilitation facilities to comply with Medicare prospective payment and quality reporting obligations.
Year:
2022
Agency:
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services
Document Type:
Supporting Statement - Part A
Program:
Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) & Quality Reporting Program (QRP)
Instrument:
IRF-PAI Version 4.0
Effective Date:
October 1, 2022
Approval Expiration Date:
December 31, 2022
Legal Basis:
Section 1886(j) of the Social Security Act, Balanced Budget Act of 1997, IMPACT Act 2014
Target Audience:
Inpatient Rehabilitation Facilities (IRFs)
Content:
Collection of standardized patient assessment data and quality measure reporting
Updates:
Adoption of Transfer of Health Measures for IRF QRP, standardization of patient assessment data elements
Burden:
Staff time required for data completion and submission
Price: 8 / 10 USD
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Year:
2026
Region / City:
United States
Subject:
Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) & Quality Reporting Program (QRP)
Document Type:
Supporting Statement
Agency:
Centers for Medicare & Medicaid Services (CMS)
Author:
U.S. Department of Health and Human Services
Target Audience:
Healthcare professionals, policymakers, and administrators in rehabilitation facilities
Effective Date:
October 1, 2026
Date of Approval:
Not specified
Date of Revision:
March 29, 2024
Expiration Date:
Not specified
Year:
2020
Region / City:
United States
Topic:
Healthcare, Medicare, Inpatient Rehabilitation Facility
Document Type:
Regulatory statement
Organization:
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services
Author:
U.S. Department of Health and Human Services
Target Audience:
Healthcare professionals, policymakers, researchers
Effective Period:
Ongoing
Approval Date:
October 31, 2020
Date of Changes:
October 1, 2018
Note:
Contextual Description
Year:
2019
Region / City:
United States
Subject:
Inpatient Rehabilitation Facilities, Medicare, Data Collection, Payment System
Document Type:
Government Report
Author:
Centers for Medicare & Medicaid Services (CMS)
Target Audience:
Healthcare Providers, Policy Makers, Researchers
Effective Date:
October 1, 2019
Date of Approval:
2019
Date of Last Revision:
N/A
Expiration Date:
N/A
Year:
2021
Region / City:
United States
Subject:
Healthcare policy, Medicare and Medicaid services
Document Type:
Regulatory notice
Institution:
Centers for Medicare & Medicaid Services (CMS)
Author:
Centers for Medicare & Medicaid Services (CMS)
Target Audience:
Healthcare providers, rehabilitation facilities
Effective Period:
October 1, 2022 - ongoing
Approval Date:
December 23, 2019
Date of Changes:
November 2, 2021
Context:
A regulatory notice regarding the delay in the implementation of the IRF-PAI Version 4.0 due to the COVID-19 Public Health Emergency, outlining updated rules and timelines for the Inpatient Rehabilitation Facility Quality Reporting Program.
Year:
2022
Region / City:
United States
Topic:
Healthcare, Medicare, Medicaid
Document Type:
Supporting Statement
Organization / Institution:
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services
Author:
Centers for Medicare & Medicaid Services (CMS)
Target Audience:
Healthcare providers, Medicare and Medicaid beneficiaries
Period of validity:
From October 1, 2022
Approval Date:
12/23/2019
Date of Changes:
November 2, 2021
Year:
2024
Region / Location:
United States
Topic:
Inpatient Rehabilitation Facility Quality Reporting
Document Type:
Summary Report
Organization:
Centers for Medicare & Medicaid Services (CMS)
Author:
RTI International
Target Audience:
Clinical staff, administration and management staff, software vendors
Event Date:
October 22, 2024
Date Submitted:
December 16, 2024
Anticipated Posting Date:
December 19, 2024
Content:
Feedback and discussion summary regarding revisions to the IRF-PAI transmission schedule
Year:
1997
Region / City:
United States
Topic:
Inpatient medication management
Document Type:
Manual
Organization / Institution:
Department of Veterans Affairs
Author:
Not specified
Target Audience:
Healthcare professionals in the Veterans Affairs system
Effective Period:
Ongoing updates
Approval Date:
December 1997
Revision Date:
August 2025
Year:
2026
Region / City:
United States
Subject:
Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) & Quality Reporting Program (QRP)
Document Type:
Supporting Statement
Agency:
Centers for Medicare & Medicaid Services (CMS)
Author:
U.S. Department of Health and Human Services
Target Audience:
Healthcare professionals, policymakers, and administrators in rehabilitation facilities
Effective Date:
October 1, 2026
Date of Approval:
Not specified
Date of Revision:
March 29, 2024
Expiration Date:
Not specified
Year:
2023
Region / City:
UK, Cyprus, Overseas
Subject:
Military Mental Health, Psychotherapy, Inpatient and Outpatient Services
Document Type:
Statement of Requirement
Organ / Institution:
Defence Medical Services
Author:
Defence Primary Healthcare
Target Audience:
Military Personnel, Healthcare Providers, Service Authorities
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2005
Region / City:
United States
Topic:
Health Systems Design and Development
Document Type:
Release Notes
Organization / Institution:
Department of Veterans Affairs
Author:
Department of Veterans Affairs
Target Audience:
Health care professionals using CPRS
Period of Validity:
April 2006
Approval Date:
1/31/2005
Modification Date:
5/18/2005
Year:
2027
Region / City:
United States
Topic:
Healthcare Technology, Medical Devices
Document Type:
Tracking Form
Agency / Organization:
Centers for Medicare & Medicaid Services
Author:
Unknown
Target Audience:
Healthcare Providers, Medical Device Manufacturers
Effective Period:
Fiscal Year 2027
Approval Date:
Unknown
Date of Changes:
Unknown
Acute Inpatient Psychiatric Admission Form for Patients Aged 10–17 with Neurodevelopmental Disorders
Patient Name:
____________________________________________
Date of Birth:
____________________
Home Address:
_________________________________________________________________________
Parent/Guardian Name/Phone/Email:
______________________________________________________
Expected Admission Type:
Voluntary / Involuntary
Referral for:
Acute Inpatient Psychiatric Treatment, approximately 30 days
Target Population:
Patients aged 10–17 with autism spectrum disorder, intellectual disability, or related neurodevelopmental disability
Current Psychiatric Provider:
UNC Psychiatry Outpatient (if applicable)
Diagnoses:
_____________________________________________________________________________
Current Medications:
____________________________________________________________________
Medical Problems:
______________________________________________________________________
Isolation Precautions:
No / Yes
Past Medical Hospitalizations or Surgeries:
__________________________________________________
Previous Psychiatric Treatment:
___________________________________________________________
Substance Use:
_________________________________________________________________________
Post-Treatment Residence Confirmed:
No / Yes
Department of Social Services / Child Protective Services Involvement:
_________________________
Consent for Medical Treatment:
___________________________________________________________
Last COVID Test:
___________________
Laboratory Results:
Within normal limits / Not done / Any abnormalities: ______________________
Pregnancy Status:
No / Yes
Seizure History:
No / Yes, well-controlled / Yes, uncontrolled
Last Vital Signs:
T______ P______ BP______ RR______ O2 Sat _____ Weight______ Height_______ BMI_________
Pending/Past Legal Problems:
_____________________________________________________________
ADL Support:
Independent / Needs Assistance with Eating, Hygiene, Walking (specify assist device)
Communication Method:
Verbally (sentences/words/phrases), Sign language, Pictures, Device, Gestures
Sensory Needs:
Hearing impaired / Visually impaired / Over/undersensitive to ____________________
Year:
2020
Region / City:
United States
Subject:
Alcohol withdrawal syndrome, Benzodiazepine-sparing regimens, Inpatient outcomes
Document type:
Research Article
Organization / Institution:
Not specified
Author:
Joshua T. Smith, Mary Sage, Herb Szeto, Yun Lu, Adriana Martinez, Patricia Kipnis, Vincent X. Liu
Target audience:
Healthcare professionals, medical researchers
Period of validity:
2018-2019
Approval date:
Not specified
Date of changes:
Not specified
Note:
Context
Year:
Not specified
Region / jurisdiction:
South Carolina
Program:
Medicaid
Document type:
Administrative form
Purpose:
Prior authorization review for inpatient services
Submitting method:
Fax
Fax number:
1-855-300-0082
Responsible organizations:
KePRO; South Carolina Department of Health and Human Services
Provider identification:
National Provider Identifier (NPI); Medicaid ID
Mandatory provider location data:
9-digit ZIP code
Review types:
Initial; Recertification; Change; Cancel; Retrospective review
Service setting:
Inpatient; freestanding inpatient psychiatric
Population focus:
Medicaid members; psychiatric services for children under 21 and adults 65 and older
Eligibility window:
Up to 30 days prior to scheduled services
Clinical information required:
Diagnosis; severity of illness; intensity of services
Approval process:
Subject to medical necessity and eligibility verification
Year:
2023
Region / City:
Ohio
Topic:
Inpatient Reimbursement Methodology
Document Type:
Reimbursement Policy
Organization:
Ohio Bureau of Workers’ Compensation
Author:
Ohio Bureau of Workers’ Compensation
Target Audience:
Hospitals, healthcare providers, injured workers, medical professionals
Effective Period:
February 1, 2023 – January 31, 2024
Approval Date:
N/A
Amendment Date:
N/A
Year:
2027
Region / City:
Boston, Massachusetts
Subject:
Healthcare, Hospital Capacity, Medical Services
Document Type:
Project Overview
Organization:
Brigham and Women’s Faulkner Hospital (BWFH)
Author:
Brigham and Women’s Hospital Administration
Target Audience:
Healthcare professionals, hospital administrators, and policymakers
Action Period:
FY 2027
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2026
Region / City:
Canberra
Topic:
Medical Procedure
Document Type:
Procedure
Institution:
Canberra Health Services
Author:
Not specified
Target Audience:
Healthcare professionals involved in patient care for radioactive iodine therapy
Period of Validity:
Indefinite
Approval Date:
Not specified
Date of Modifications:
Not specified
Year:
2025
Region / city:
United States
Topic:
Healthcare, Medication Management, Software Upgrade
Document Type:
Release Notes
Organization / Institution:
Department of Veterans Affairs, Office of Information and Technology (OIT)
Author:
Department of Veterans Affairs
Target Audience:
Users and administrators of FDB Fwk Upgrade v4.5
Effective Period:
May 2025
Approval Date:
May 2025
Modification Date:
None listed
Year:
2007
Region / City:
United States
Topic:
Healthcare Software Updates
Document Type:
Release Notes
Organization / Institution:
Department of Veterans Affairs
Author:
VistA Health Systems Design & Development
Target Audience:
Healthcare professionals using VistA system
Effective Period:
2007
Approval Date:
03/29/2007
Modification Date:
October 2007