It, still the season for giving right? So… we thought we would provide you with some post Christmas, pre new year reading courtesy of CMS
As you may be aware, CMS promised a full set of MDS 3.0 v1.18.11 item sets before the end of the year. Well, CMS has gone and done it again. On Friday, 12/23, on the MDS 3.0 website, they released the full set of the draft MDS 3.0 v1.18.11 Draft item sets. All nine item sets are available for review, including a change document that details which MDS items are contained within each item set.
It is interesting that the link and downloadable zip file are still labeled as a draft while the individual item sets are not labeled as drafts. These all indicate the following in the footers, “Effective 10/01/2023”. Perhaps more revisions to come through the proposed and final rule making cycle for FY 2024.
For a complete item by item rundown of the revisions to MDS 3.0 v1.18.11, checkout the special BRR Reflections we did September when the initial draft was released. You must be a Broad River Rehab Insider to take advantage of this resource. This exclusive content is available to Broad River Rehab customers only.
Of note, there have been a few minor clerical and/or instructional revisions to the draft version released last Friday and the first draft that was released in September. See below for a detailed rundown of these revisions.
CMS also released a change document, a cross check able showing which MDS items are contained in each item set. This is important and helpful since this is the first time we have been able to view the completed item sets.
On a recent Open Door Forum, CMS promised a revised RAI Manual sometime early second quarter 2023 as well as training videos starting in may 2023. We are all looking forward to these. In the meantime, best advice, download and review the latest draft version. October 2023 will be here before you know it. No time like the present.
MDS 3.0v1.18.11 Sept. 2022 Draft to Dec, 2022 Draft Revisions.
1. Item A2121 – Additional MDS items added at reason for completion to clarify the term, “Provider”.
9/1/22 Draft: A2121. Provision of Current Reconciled Medication List to Subsequent Provider at Discharge.
Complete only if A0310H = 1
12/23/22 Draft: A2121. Provision of Current Reconciled Medication List to Subsequent Provider at Discharge.
Complete only if A0310H = 1 and A2105 = 02-12
2. Item A2123 – Additional MDS items added at reason for completion to clarify that this is not to Provider.
9/1/22 Draft: A2123. Provision of Current Reconciled Medication List to Resident at Discharge.
Complete only if A0310H = 1
12/23/22 Draft: A2123. Provision of Current Reconciled Medication List to Resident at Discharge.
Complete only if A0310H = 1 and A2105 = 01, 99
3. Item D0160 – Revised guidance for the total severity score range.
9/1/22 Draft: D0160 – Add scores for all frequency responses in Column 2, Symptom Frequency. Total score must be between 02 and 27.
12/23/22 Draft: D0160 – Add scores for all frequency responses in Column 2, Symptom Frequency. Total score must be between 00 and 27.
4. Item GG0130 Admission – Language revised to clarify when this item is to be completed.
9/1/22 Draft: GG0130 Admission – Complete if A0310A = 01 or A0310B = 01. If A0310B = 01, the stay begins on A2400B and both columns are required. If A0310B = 99, the stay begins on A1600 and only column 1 is required.
12/23/22 Draft GG0130 Admission – Complete column 1 when A0310A = 01. Complete columns 1 and 2 when A0310B = 01. When A0310B = 01, the stay begins on A2400B. When A0310B = 99, the stay begins on A1600. Item I column 2 is blacked out.
5. Item GG0170 Admission – Language revised to clarify when this item is to be completed.
9/1/22 Draft: GG0170 Admission – Complete if A0310A = 01 or A0310B = 01. If A0310B = 01, the stay begins on A2400B and both columns are required. If A0310B = 99, the stay begins on A1600 and only column 1 is required.
12/23/22 Draft: GG0170 Admission – Complete column 1 when A0310A = 01. Complete columns 1 and 2 when A0310B = 01. When A0310B = 01, the stay begins on A2400B. When A0310B = 99, the stay begins on A1600. Item FF column 2 is blacked out.
6. Item GG0130 Discharge – Language revised to clarify when this item is to be completed.
9/1/22 Draft: GG0130 Discharge – Complete only if A0310F = 10 or 11 or A0310H = 1. If A0310G is not = 2 and A0310H = 1 and A2400C minus A2400B is greater than 2 and A2105 is not = 04, the stay ends on A2400C. For all other Discharge assessments, the stay ends on A2000.
12/23/22 Draft: GG0130 Discharge – Complete column 3 when A0310F = 10 or 11 or when A0310H = 1. When A0310G is not = 2 and A0310H = 1 and A2400C minus A2400B is greater than 2 and A2105 is not = 04, the stay ends on A2400C. For all other Discharge assessments, the stay ends on A2000.
7. Item GG0170 Discharge – Language revised to clarify when this item is to be completed.
9/1/22 Draft: GG0170 Discharge – Complete only if A0310F = 10 or 11 or A0310H = 1. If A0310G is not = 2 and A0310H = 1 and A2400C minus A2400B is greater than 2 and A2105 is not = 04, the stay ends on A2400C. For all other Discharge assessments, the stay ends on A2000.
12/23/22 Draft: GG0170 Discharge – Complete column 3 when A0310F = 10 or 11 or when A0310H = 1. When A0310G is not = 2 and A0310H = 1 and A2400C minus A2400B is greater than 2 and A2105 is not = 04, the stay ends on A2400C. For all other Discharge assessments, the stay ends on A2000.
8. Item GG0130 OBRA/Interim – Language revised to clarify when this item is to be completed.
9/1/22 Draft: GG0130 OBRA/Interim – Complete only if A0310A = 02 – 06 and A0310B = 99 or A0310B = 08.
12/23/22 Draft: GG0130 OBRA/Interim – Complete column 5 when A0310A = 02 – 06 and A0310B = 99 or when A0310B = 08.
9. Item GG0170 OBRA/Interim – Language revised to clarify when this item is to be completed.
9/1/22 Draft: GG0170 OBRA/Interim – Complete only if A0310A = 02 – 06 and A0310B = 99 or A0310B = 08.
12/23/22Draft: GG0170 OBRA/Interim – Complete column 5 when A0310A = 02 – 06 and A0310B = 99 or when A0310B = 08.
