The RAI consists of three parts: the Minimum Data Set (MDS) Version 3.0, the Care Area Assessment (CAA) process and the RAI Utilization Guidelines.
The utilization of the three components gives information about a resident's funtional staus, strengths, weaknesses, and preferences, as well as offering guidance on further assessment once problems have been identified.
CMS has released 3 new documents related to the Oct. 1, 2016, release of MDS:
The documents are available from the Downloads section at the bottom of the CMS SNF Quality Reporting Program Measures and Technical Information website.
A draft of the MDS 3.0, version 1.14 and Sections A and GG
The Improving Medicare Post-Acute Care Transformation (IMPACT) Act, enacted Oct. 6, 2014, directs the Secretary of Health and Human Services to "specify quality measures on which Post-Acute Care (PAC) providers are required under the applicable reporting provisions to submit standardized patient assessment data" in several domains, including incidence of major falls, skin integrity, and function. The IMPACT Act requires the implementation of quality measures to address these measure domains in home health agencies (HHAs), skilled nursing facilities (SNFs), long-term care hospitals (LTCHs), and inpatient rehabilitation facilities (IRFs). A draft of the MDS 3.0, version 1.14 and Sections A and GG, as well as the new SNF Part A PPS Discharge Assessment is available at the bottom of this page.
CMS has issued an errata document titled: "MDS3.0RAIManualv1.12R.Errata” on the Nursing Home quality Initiatives webpage. This document is available in the downloads section, and contains revisions to pages in Chapter 2 and Chapter 3, Section A of the MDS 3.0 RAI Manual v1.12R that clarify the meaning of entry/reentry and the coding for MDS items A1600, A1700, A1800, and A1900. Changed manual pages are marked with the footer “October 2014 (R)” or “October 2014 (R2)” if the page was previously revised.
State folders removal off of CMSNet page.
CMS taking notice:
It appears that some providers are trying to complete a PPS assessment for an MA Plan, and not for a Medicare Part A stay. Assessments that are being completed for third party billing must NOT be submitted to the QIES ASAP system. This is a violation of HIPAA's minimum necessary standard if the facility is not seeking payment for a Medicare Part A Stay. This is an issue that the facility and software vendor need to work out in a joint effort, within their program, to prevent this from happening.