Information Collection Request

Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)

ICR 202604-0938-008 · OMB 0938-1171 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form CMS-10432 Psychiatric Inpatient Experience (PIX) Survey Form and Instruction Modified Available
Form CMS-10432 IPFQR Data Entry Screen Shots Form and Instruction Modified Available
Form CMS-10432 Data Accuracy and Completeness Acknowledgement (DACA) Form and Instruction Modified Available
CMS-10432_9_IPFQR_ Summary of IPFQR Information Collection Forms - FY 2027 IPFQR Proposed Rule_IPFQR PRA_CY 2027_20260506.docx Supplementary Document Uploaded 2026-05-18 Available
CMS-10432_10_FY 2027 IPFQR PR Supporting Statement Part A_20260422.docx Supporting Statement A Uploaded 2026-05-18 Available
IC Document Collections
IC IDCollectionTypeStatusForm
202349 Inpatient Psychiatric Facility Quality Reporting Program Form and Instruction ModifiedPsychiatric Inpatient Experience (PIX) Survey
202349 Inpatient Psychiatric Facility Quality Reporting Program Form and Instruction ModifiedIPFQR Data Entry Screen Shots
202349 Inpatient Psychiatric Facility Quality Reporting Program Form and Instruction ModifiedData Accuracy and Completeness Acknowledgement (DACA)
ICR Details
0938-1171 202604-0938-008
Received in OIRA 202508-0938-007
HHS/CMS CCSQ
Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)
Revision of a currently approved collection   No
Regular 05/28/2026
  Requested Previously Approved
36 Months From Approved 02/29/2028
8,952,336 10,820,880
2,179,121 2,645,051
0 0

Pursuant to section 1886(s)(4)(C) of the Social Security Act as added and amended by sections 3401 and 10322 of the Patient Protection and Affordable Care Act (ACA) and further amended by section 4125(c) of the Consolidated Appropriations Act, 2023, starting in FY 2014 (that is, October 1, 2013 through September 30, 2014) and for subsequent fiscal years, IPFs paid under the IPF PPS shall submit pre-defined quality measures to the CMS. Such data shall be submitted in a form and manner, and at a time specified by the Secretary. Section 1886(s)(4)(A) of the Act provides that IPFs that fail to submit data on the selected quality measures and comply with other administrative requirements will have their IPF prospective payment system (PPS) payment updates reduced by 2.0 percentage points. This is a revision of the currently approved information collection request. The Centers for Medicare & Medicaid Services’ (CMS’) quality reporting programs promote higher quality, more efficient healthcare for Medicare beneficiaries by collecting and reporting on quality-of-care metrics. This information is made available to consumers, both to empower Medicare beneficiaries and inform decision-making, as well as to incentivize healthcare facilities to make continued improvements. Specifically, CMS has implemented quality measure reporting programs for multiple settings, including for the Inpatient Psychiatric Facility (IPF) setting, to achieve its overarching priorities and initiatives, including the National Quality Strategy and the Meaningful Measure 2.0 Framework. In particular, Meaningful Measures 2.0 promotes innovation and modernization of all aspects of quality to better address health care priorities and gaps, emphasize digital quality measurement, and promote patient perspectives by supporting five interrelated goals: (1) empower consumers to make good health care choices through patient-directed quality measures and public transparency, (2) leverage quality measures to promote health equity and close gaps in care, (3) streamline quality measurement, (4) leverage measures to drive outcome improvement through public reporting and payment programs, and (5) improve quality measure efficiency by transitioning to digital measures and using advanced data analytics. The information collection requirements for the FY 2014 through FY 2028 program years (that is, data submitted from CY 2013 through CY 2027) are currently approved under OMB control number 0938-1171 (expiration date January 31, 2027). This request covers updates to the data collection requirements beginning with the FY 2026 payment determination (that is data submitted in CY 2025) and subsequent years.

PL: Pub.L. 111 - 148 10322 Name of Law: Affordable Care Act
  
None

0938-AV77 Proposed rulemaking 91 FR 17720 04/07/2026

No

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,952,336 10,820,880 0 -1,868,544 0 0
Annual Time Burden (Hours) 2,179,121 2,645,051 0 -465,930 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
This collection of information request describes changes to the IPFQR Program in association with the FY 2027 IPF PPS proposed rule. Burden adjustments are based on the availability of accurate data and the proposed rule-related changes that reflect removal of two measures (SUB-2/SUB-2a and TOB-3/TOB-3a). CMS estimates a total decrease in burden hours of 465,930 hours (+10,308 - 476,238) and decrease in cost of $26,280,617 (+$605,437 - $26,221,664 - $664,390) due to measure removals, updated number of IPFs and discharges, and updated wage rates.

$179,431
No
    No
    No
Yes
No
No
Yes
Stephan McKenzie 410 786-1943 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/28/2026