Skip to Main Content

MDS 3.0 RAI Manual

This page contains the current MDS 3.0 RAI Manual v1.12, effective October 1, 2014. This version of the MDS 3.0 RAI Manual incorporates clarifications to existing coding and transmission policy, integrates previously published Questions and Answers (Q & As) into the appropriate sections and addresses requested clarifications and scenarios concerning complex areas.

What’s New:

August 27, 2015

The August 27 update of Appendix B to the RAI Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and Regional Office contacts. The file is located in the Downloads section below.

February 5, 2015

The file labeled “MDS3.0RAIManualv1.12R.Errata,” available in the Downloads section below, 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.

Providers who download and print the full MDS 3.0 RAI Manual (v1.12R) will need to download and print the errata document. The errata document begins with a table that lists the identified revisions and the pages to which they have been applied. Following the table are the actual corrected replacement pages for insertion into the printed manual.

October 9, 2014

The complete set of RAI Manual v.1.12 pages and change tables and the Replacement Pages file, both in the Downloads section below, now contain revised versions of Chapter 2; pages A-8, A-10, and A-13 (Chapter 3 Section A); pages E-2 through E-8 (Chapter 3 Section E); page 6-12 (Chapter 6); the Appendix B, F, and H cover pages;  and Appendix G. Files affected by this revision contain an R in the version number (“1.12R”) and pages affected include an “(R)” in the page footer.

September 26, 2014

Appendix F Item Matrix and Appendix H Item Set of the RAI Manual v.1.12, which were omitted in the September 15 posting, are now available in the full set of manual pages.

September 15, 2014

RAI Manual v.1.12 is available in the Downloads section below. MDS 3.0 RAI Manual v1.12 and Change Tables_October contains the full set of chapters, sections, appendices, and change tables. MDS 3.0 RAI Manual v.1.12 Replacement Manual Pages and Change Tables_October contains only the pages that changed from v.1.11 to v.1.12 and the change tables of the corresponding chapters, sections, and appendices.

RAI Manual v.1.11, previously posted in the Downloads section below, is now posted on the Archived: MDS 3.0 RAI Manuals web page.

September 20, 2013

CMS has issued a Survey and Certification (S&C) memo outlining steps nursing home providers must take to address any MDS 3.0 Discharge assessments that have not been completed and/or submitted since the inception of MDS 3.0 that have resulted in any residents appearing on the facility’s current MDS 3.0 Roster report who are no longer active residents. The memo is located in the Related Links section or can also be accessed at:

Providers must complete the steps outlined in the S&C memo no later than September 30, 2013. The memo also outlines CMS’s policy for Discharge assessments which is detailed in Chapter 2 of the RAI User’s Manual.

April 12, 2013

The MDS 3.0 QM User’s Manual containing detailed specification for the MDS 3.0 quality measures has been removed from this page. The table entitled, Quality Measure Identification Number by CMS Reporting Module has been removed from this page. Both the MDS 3.0 QM User’s Manual and the table are available in the Downloads section of the NHQI Quality Measures page.

Questions or comments regarding the MDS 3.0 should be directed to your State RAI Coordinator.  State RAI Coordinator contact information can be found in MDS 3.0 RAI Manual Appendix B in the Downloads section below .

Disclaimer: This webpage is the only official site where the MDS 3.0 training materials are posted. Content contained in the files posted on this site should not be changed in any manner.

Legal Notice Regarding MDS 3.0 - Copyright 2011 United States of America and interRAI. This work may be freely used and distributed solely within the United States. Portions of the MDS 3.0 are under separate copyright protections; Pfizer Inc. holds the copyright for the PHQ-9; Confusion Assessment Method. © 1988, 2003, Hospital Elder Life Program. All rights reserved. Adapted from: Inouye SK et al. Ann Intern Med. 1990; 113:941-8. Both Pfizer Inc. and the Hospital Elder Life Program, LLC have granted permission to use these instruments in association with the MDS 3.0.