OMB control number
(CMS-437A and 437B) Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations
OMB 0938-0986 · HHS/CMS.
OMB 0938-0986
The rehabilitation hospital and rehabilitation unit criteria work sheets are necessary to verify that these facilities/units comply and remain in compliance with the exclusion criteria for the Medicare perspective payment system.
The latest form for (CMS-437A and 437B) Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations expires 2026-09-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
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Form and Instruction |
Supplementary Document |
Supporting Statement A |
Form CMS-437 A Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations at 42 CFR 412.20-412.30 (CMS-437A&B)
Responses to Comments.11.18.22.docx
Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations at 42 CFR 412.20-412.30 (CMS-437A&B) All Historical Document Collections
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Approved with change |
Reinstatement with change of a previously approved collection | 2023-04-21 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 2019-07-02 | |
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Approved with change |
Revision of a currently approved collection | 2015-07-28 | |
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Approved with change |
Revision of a currently approved collection | 2012-06-30 | |
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Approved without change |
Extension without change of a currently approved collection | 2009-03-31 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 2006-01-24 |