OMB control number

Comprehensive Outpatient Rehabilitation Facility (CORF) Certification and Survey Forms (CMS-359/360)

OMB 0938-0267 · HHS/CMS.

OMB 0938-0267

In order to participate in the Medicare program as a CORF, providers must meet federal conditions of participation. The certification form is needed to determine if providers meet at least preliminary requirements. The survey form is used to record provider compliance with the individual conditions and report findings to CMS.

The latest form for Comprehensive Outpatient Rehabilitation Facility (CORF) Certification and Survey Forms (CMS-359/360) expires 2028-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-359 Comprehensive Outpatient Rehabilitation Facility (CORF) Eligibility and Survey Forms and Information Collection Requirements in 42 CFR 485.56, 485.58, 485.60, 485.64... Form and Instruction
Supporting Statement A for CMS 359 & 360. 12.05.24.docx Supporting Statement A
Comprehensive Outpatient Rehabilitation Facility (CORF) Eligibility and Survey Forms and Information Collection Requirements in 42 CFR 485.56, 485.58, 485.60, 485.64... Form and Instruction

All Historical Document Collections

202505-0938-015	Reinstatement with change of a previously approved collection	2025-06-04
202009-0938-003	Reinstatement with change of a previously approved collection	2020-09-11
201603-0938-013 Approved with change	Extension without change of a currently approved collection	2016-03-21
201209-0938-005 Approved with change	Revision of a currently approved collection	2012-09-18
200906-0938-007 Approved with change	Extension without change of a currently approved collection	2009-06-15
200604-0938-005 Approved without change	Extension without change of a currently approved collection	2006-04-19
200301-0938-009 Approved without change	Extension without change of a currently approved collection	2003-01-21
199912-0938-002 Approved without change	Extension without change of a currently approved collection	1999-12-02
199610-0938-008 Approved without change	Extension without change of a currently approved collection	1996-10-29
199311-0938-002 Approved without change	Revision of a currently approved collection	1993-11-01
199103-0938-014 Approved with change	No material or nonsubstantive change to a currently approved collection	1991-03-01
199009-0938-002 Approved without change	Reinstatement with change of a previously approved collection	1990-09-04
198805-0938-009 Approved without change	Revision of a currently approved collection	1988-05-26
198710-0938-005 Approved without change	Revision of a currently approved collection	1987-10-29
198509-0938-020 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-09-20
198410-0938-006 Approved without change	Reinstatement with change of a previously approved collection	1984-10-12
198409-0938-026 Approved with change	No material or nonsubstantive change to a currently approved collection	1984-09-28
198210-0938-005 Approved without change	New collection (Request for a new OMB Control Number)	1982-10-26