CMS Seeks Comments on Another Collection of Public Information
Published Date: 11/2/2026
Notice
Summary
The Centers for Medicare & Medicaid Services (CMS) wants your feedback on their plan to collect some new information from the public. They’re asking for comments by January 4, 2027, to make sure the process is clear, useful, and not too much work. This affects anyone who might provide info to CMS and helps keep things running smoothly without wasting time or money.
Analyzed Economic Effects
3 provisions identified: 1 benefits, 2 costs, 0 mixed.
Annual CMS-437 Filing Requirement for IPUs
If you operate an Inpatient Psychiatric Unit (IPU), you must complete and submit the CMS-437 form annually to maintain your exclusion from the hospital Inpatient Prospective Payment System (IPPS) under 42 CFR 412.25. CMS reports 1,534 respondents, 1,534 annual responses, and a total annual burden of 1,551 hours for this collection (OMB Control Number 0938-0358).
Initial CMS-437 Required to Request IPPS Exclusion
New IPUs must submit an initial CMS-437 form to CMS when they apply to participate in the Medicare program to request new IPPS-excluded status. This initial submission is part of the CMS process for establishing eligibility for inpatient psychiatric unit payment under the IPU prospective payment system.
Self-Attestation Replaces Onsite IPPS Exclusion Surveys
Since November 5, 2007, CMS suspended onsite IPPS exclusion surveys and requires IPUs to self-attest by completing and submitting the CMS-437 form instead of having State Agency surveyors perform onsite verification. You now use the CMS-437 self-attestation process each year rather than undergo an onsite exclusion survey.
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