Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set & LTCH CARE Data Set Manual

This page includes the current versions of LTCH CARE Data Set (LCDS), LTCH CARE Data Set Manual and associated documents. This page will be updated when:

  • An update is made to either of these resources
  • A newer version becomes available
  • Important information regarding these tools needs to be communicated

The older versions of these documents will remain available for reference in the LTCH Quality Reporting Program Archives.

The LCDS Section I, Active Diagnoses, to ICD-10 Mapping

A resource document that provides a mapping of Section I data elements in the LCDS to ICD-10 codes, where applicable, is available. Definitions of primary diagnoses, comorbidities, and coexisting conditions in Section I remain unchanged. Providers should follow the coding instructions found in Chapter 3 Section I of the LTCH QRP Manual is available in the Downloads section of this webpage. This information is intended to assist providers in identifying patients with these diagnoses. For those diagnosis categories that are not based on a hierarchical condition category, the list of diagnosis codes is not all-inclusive.

Questions regarding this file should be sent to the LTCH Quality Questions Help Desk at LTCHQualityQuestions@cms.hhs.gov.

The LCDS

The LCDS is the assessment instrument LTCH providers use to collect patient assessment data in accordance with the LTCH Quality Reporting Program (QRP). Patient assessment data is collected on admission, discharge (planned or unplanned), and for patients who die (expired). The LCDS V 4.0 was implemented July 1, 2018 and is currently in use. For more information about data collection and submission, please refer to the LTCH Quality Reporting Data Submission Deadlines webpage.

The LTCH QRP Manual

The LTCH QRP Manual provides guidance to LTCHs regarding quality data collection, submission, and reporting to comply with the requirements of the LTCH QRP. The LTCH QRP Manual offers item-by-item coding instructions and coding examples for each item for LTCH staff to accurately complete the LCDS. The most recent version of the LTCH QRP Manual is available in the Downloads section below.

Updates

December 16, 2020

Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set Quarterly Q&As, December 2020

The Centers for Medicare & Medicaid Services (CMS) is publishing the LTCH CARE Data Set (LCDS) Quarterly Q&As, December 2020 document, so that all LTCH providers have the benefit of the clarifications to existing guidance, CMS identifies the opportunity to clarify or refine guidance.

The Quarterly Q&As document is available in the Downloads section of this webpage.

September 16, 2020

LTCH CARE Data Set Quarterly Q&As, September 2020

The Centers for Medicare & Medicaid Services (CMS) is publishing the Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation Data Set (LCDS) Quarterly Q&As September 2020 document so that all LTCH providers have the benefit of the updates/clarifications to guidance. CMS occasionally identifies the opportunity to clarify or refine guidance. Moving forward, CMS plans to publish LCDS Q&As on a quarterly basis.

The Quarterly Q&As document is available in the Downloads section of this webpage.

June 17, 2020

Delayed: Release of Updated LCDS Version 5.0 and Accompanying Guidance Manual

The Centers for Medicare & Medicaid Services (CMS) is delaying the release of updated versions of the item sets needed to support the Transfer of Health (TOH) Information Quality Measures and new or revised Standardized Patient Assessment Data Elements (SPADEs) in order to provide maximum flexibilities for providers of Long-Term Care Hospitals (LTCHs) to respond to the COVID-19 Public Health Emergency (PHE).

The release of updated versions of the LTCH Continuity Assessment Record and Evaluation Data Set (LCDS) will be delayed until October 1st of the year that is at least 1 full fiscal year after the end of the COVID-19 PHE. For example, if the COVID-19 PHE ends on September 20, 2020, LTCHs will be required to begin collecting data using the updated versions of the item sets beginning with patients discharged on October 1, 2021.

For more information regarding the trainings associated with the LCDS Version 5.0, please see the LTCH Quality Reporting Program (QRP) Training webpage.

For more information regarding the FY 2022 LTCH QRP Annual Update (i.e. the APU) Table for Reporting Assessment-Based measures and SPADES, please see the LTCH QRP Measures Information webpage.

LTCH Quality Reporting Program Archives

Page Last Modified:
12/31/2020 02:10 PM