Crosswalk

Crosswalk for Changes to the Inpatient Rehabilitation Facility

Patient Assessment Instrument (IRF-PAI) Version 4.2 to 4.3

(CMS-10036; OMB No. 0938-0842)

Section # on Current ADMISSION DRAFT IRF-PAI (10/24)	Type of Change	Rationale for Change
IDENTIFICATION INFORMATION	Remove 14. Admission Class.	Given the changes proposed by 89 FR 22282, CMS will remove the item since it is not used in the IRF QRP or payment calculations.
SECTION A: ADMINISTRATIVE INFORMATION	Remove A1250. Transportation (from NACHC©) with citation.	Necessary to implement changes proposed by 89 FR 22279 through 22280 and 22281 through 22282.
SECTION R: HEALTH-RELATED SOCIAL NEEDS	New Section of IRF-PAI	Given the changes proposed by 89 FR 22246, CMS will create a new section of the IRF-PAI to collect data on health-related social needs
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Add R0310. Living Situation with citation.	Necessary to implement changes proposed by 89 FR 22277 and 22281 through 22282.
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Add R0320.A and R0320B. Food with citation.	Necessary to implement changes proposed by 89 FR 22277 through 22278 and 22281 through 22282.
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Add R0330. Utilities with citation.	Necessary to implement changes proposed by 89 FR 22278 through 22279 and 22281 through 22282.
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Add R0340. Transportation with citation.	Necessary to implement changes proposed by 89 FR 22279 through 22280 and 22281 through 22282.

Section # on Current DISCHARGE DRAFT IRF-PAI (10/24)	Type of Change	Rationale for Change
SECTION A: ADMINISTRATIVE INFORMATION	Remove A1250. Transportation (from NACHC©) with citation.	Necessary to implement changes proposed by 89 FR 22279 through 22280 and 22281 through 22282.

Crosswalk for Changes to the IRF-PAI Version 4.2 to 4.3 2 of 2