OMB control number

Reform of Requirements for Long-Term Care Facilities (CMS-10573)

OMB 0938-1363 · HHS/CMS.

OMB 0938-1363

Long term care facilities are required to maintain certain documentation within their own agency records that demonstrates compliance with specific requirements for participation in the Medicare and Medicaid programs. This documentation is maintained on-site for use in the long term care facility survey process. In this submission, we are revising the information collection request to add information collection requirements for the nursing services requirements at §483.35 and revise the existing information collection requirements for the facility assessment requirements at §483.70(e) (new §483.71).

The latest form for Reform of Requirements for Long-Term Care Facilities (CMS-10573) expires 2026-08-31 and can be found here.

OMB Details

483.75(a)

Federal Enterprise Architecture: Health - Health Care Services