Hospital PPS-Excluded Psych Unit Packet

The instructions and forms in this packet are designed to assist providers in submitting the required information for adding or for submission of annual self-attestations for a PPS-excluded rehabilitation unit. The Hospital Bed Change Packet must be submitted with this packet.

  • PPS Excluded Instructional Letter
  • PPS Excluded Attestation Form
  • CMS 437 Psychiatric Unit Criteria Work Sheet
  • Checklist for PPS Excluded Psychiatric Units