IRF-PAI and IRF-PAI Manual
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,
- or important information regarding these tools needs to be communicated.
The older versions of these documents will remain available for reference in the archives section.
Please refer to the IRF PPS webpages for additional information related to the IRF PPS requirements.
Inpatient Rehabilitation Facility (IRF) Patient Assessment Instrument (PAI)
The Inpatient Rehabilitation Facility (IRF) Patient Assessment Instrument (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 QRP. Completion of the IRF-PAI is required for each Medicare Part A fee-for-service and Medicare Part C patient discharged from an inpatient rehabilitation facility. IRF-PAI V 3.0, effective October 1, 2019, is available in the Downloads section of this webpage. For more information about data collection and submission for the quality reporting program, please refer to the IRF Quality Reporting Data Submission Deadlines webpage.
Inpatient Rehabilitation Facility (IRF) ) Patient Assessment Instrument (PAI) Manual
The purpose of the IRF-PAI Manual is to offer continuing guidance to IRFs regarding data collection, submission, and reporting. The IRF-PAI Manual offers item-by-item coding instructions and coding examples for each item for IRF staff to accurately complete the IRF-PAI. The most recent version of the IRF-PAI Manual is available in the downloads section below.
November 21, 2019
Publication of IRF-PAI V4.0 and Change Table
The new and updated IRF-PAI V4.0, along with an accompanying change table describing updates from IRF-PAI V3.0, has been added to the Downloads section below. The IRF-PAI V4.0 includes the measures and standardized patient assessment data elements finalized in the FY 2020 IRF PPS Final Rule and is effective October 1, 2020 for use in the IRF QRP.
April 30, 2019
Updated IRF-PAI Manual Version 3.0
The IRF-PAI Manual version 3.0 and accompanying change table have been added to the Downloads section below. This manual contains information regarding data collection on the IRF-PAI version 3.0, effective October 1, 2019. Please note that the IRF-PAI Manual replaces previous versions of the IRF-PAI Training Manual.
July 31, 2018
IRF-PAI V3.0 and Change table
An updated version of the IRF-PAI Version 3.0 (as finalized in the FY 2019 IRF PPS Final Rule), along with a change table describing updates, has been added to the Downloads section below. The IRF-PAI V3.0 is effective October 1, 2019.
May 17, 2018
Now posted: Errata and IRF-PAI Training Manual Version 2.0 - Revised Section 4 (Quality Indicators)
An errata has been posted, along with a file containing the IRF-PAI Training Manual Section 4 (Quality Indicators) with revised Sections GG and M, has been posted in the Downloads section below.
May 08, 2018
Updated Section 4 (Quality Indicators) of IRF-PAI Training Manual Version 2.0
An updated version of Section 4, the Quality Indicators sections, of the IRF-PAI Training Manual version 2.0 has been added to the Downloads section below. These sections contain information regarding data collection for the quality measures on the IRF-PAI version 2.0, effective October 1, 2018.
A change table describing updates to the IRF-PAI Training Manual Version 2.0 has also been added below.
May 01, 2018
A CDC NHSN Submission Guidance document for the IRF QRP is now available in the Downloads section below. The guide includes information regarding submission requirements for the CDC/NHSN quality measures and helpful links to additional resources for NHSN.
April 27, 2018
Proposed IRF-PAI V3.0 – Effective October 1, 2019 (FY 2020)
The IRF-PAI Version 3.0 – Effective October 1, 2019 (FY 2020), as proposed in the FY 2019 IRF PPS proposed rule, and a table listing changes from the previous version can be found in the Downloads section below.