The Centers for Medicare and Medicaid Services (CMS) has released the June 2024 inpatient rehabilitation facility patient assessment instrument (IRF-PAI) quarterly question and answer (Q&A) document. The document is located at the bottom of the IRF-PAI web page under “downloads.” It consolidates June 2020 to June 2024 quarterly Q&A’s in order to provide all IRF providers the benefit of the clarifications to existing guidance. The Q&A’s included are based on questions received through the IRF Quality Reporting Program (QRP) help desk. A Q&A on completing IRF-PAI items for pediatric patients is included on pages 2 and 3. CMS acknowledges concerns about coding certain assessment items for pediatric patients, but instructs providers to code each item based on the guidance regardless of the patient’s age.