IRF-PAI and IRF-PAI Manual

This page includes the current versions of the IRF-PAI, the Quality Indicator Section of the IRF-PAI Manual, and associated documents. This page will be updated when:

  • An update is made to these resources
  • A newer version becomes available
  • Important information regarding these tools needs to be communicated

The older versions of these documents will remain available for reference in the Archives section. 

For additional information related to the IRF Prospective Payment System (PPS) requirements, please refer to the IRF PPS webpage.

IRF-PAI

The IRF-PAI is the assessment instrument IRF providers use to collect patient assessment data for quality measure calculation and payment determination in accordance with the IRF Quality Reporting Program (QRP). Completion of the IRF-PAI is required for each Medicare Part A fee-for-service and Medicare Part C patient discharged from an IRF. For more information about data collection and submission for the QRP, please refer to the IRF Quality Reporting Data Submission Deadlines webpage.

IRF-PAI Manual

The purpose of the IRF-PAI Manual is to offer continuing guidance to IRFs regarding collection, submission, and reporting of assessment data. The IRF-PAI Manual offers item-by-item coding instructions and coding examples for each item to assist IRF staff to accurately complete the IRF-PAI. The most recent version of the IRF-PAI Manual is available in the Downloads section below.

Updates

March 18, 2021

Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&A, March 2021, Consolidated June 2020 to March 2021

The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, March 2021, Consolidated June 2020 to March 2021 document so that all IRF providers have the benefit of the clarifications to existing guidance. Through inquiries to the IRF Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance.

The Quarterly Q&A document is available in the Downloads section of this webpage.

December 16, 2020

Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, December 2020

The Centers for Medicare & Medicaid Services (CMS) is publishing the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) Quarterly Q&As, December 2020 document so that all IRF providers have the benefit of the clarifications to existing guidance. Through inquiries to the IRF Post-Acute Care (PAC) Quality Reporting Program (QRP) Help Desk, CMS identifies the opportunity to clarify or refine guidance.

The Quarterly Q&A document is available in the Downloads section of this webpage.

June 17, 2020

Delayed: Release of Updated IRF-PAI Version 4.0 and Accompanying Guidance Manual

The Centers for Medicare & Medicaid Services (CMS) is delaying the release of updated versions of the item sets needed to support the Transfer of Health (TOH) Information Quality Measures and new or revised Standardized Patient Assessment Data Elements (SPADEs) in order to provide maximum flexibilities for providers of Inpatient Rehabilitation Facilities (IRFs) to respond to the COVID-19 Public Health Emergency (PHE).

The release of updated versions of the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) will be delayed until October 1st of the year that is at least 1 full fiscal year after the end of the COVID-19 PHE. For example, if the COVID-19 PHE ends on September 20, 2020, IRFs will be required to begin collecting data using the updated versions of the item sets beginning with patients discharged on October 1, 2021.

For more information regarding the trainings associated with the IRF-PAI Version 4.0, please see the IRF QRP Training webpage.

For more information regarding the FY 2022 IRF QRP Annual Payment Update (APU) Table for Reporting Assessment-Based measures and SPADES, please see the IRF Quality Reporting Measures Information webpage.

IRF Quality Reporting Program Archives

Page Last Modified:
04/07/2021 01:22 PM