Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual

Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual

This webpage includes the current version of the MDS 3.0 RAI Manual and associated documents. This page will be updated when:

  • An update is made to the MDS RAI 3.0 Manual
  • A newer version of the MDS RAI 3.0 Manual becomes available; or
  • Important information regarding the MDS 3.0 RAI Manual needs to be communicated.

Older versions of the MDS 3.0 RAI Manual are available for reference on the Archived: MDS 3.0 RAI Manuals webpage.

On this webpage you will also find the most current MDS 3.0 Item Sets and Appendix B which lists all of the State RAI and Automation Coordinators.

What's New –

January 29, 2024

The January update of Appendix B to the RAI 3.0 User’s Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, and CMS locations and contacts. To ensure accurate formatting, use a current version of Adobe Acrobat Reader to view this PDF. Web-based or mobile browser plug-ins may affect how the file is displayed. The file is located in the Downloads section below.

January 12, 2024

NOW AVAILABLE: Draft MDS 3.0 Item Sets version 1.19.1

The draft Minimum Data Set (MDS) 3.0 Item Sets version (v)1.19.1 and Item Matrix are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS Item Sets v1.19.1 will be effective beginning October 01, 2024.

October 23, 2023

The PDF file labeled “MDS3.0RAIManualv1.18.11R.Errata.v2.October.20.2023” is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The errata document contains revisions to the MDS 3.0 RAI Manual version (v)1.18.11R to provide clarity and additional guidance in Section D and Chapter 6 to support item D0100, Should Resident Mood Interview be Conducted? serving as a gateway item for the Resident Mood Interview (PHQ-2 to 9©) and D0500, Staff Assessment of Resident Mood (PHQ-9-OV©). Minor revisions also included are corrections to language in Section Q to provide proper guidance on Care Area Assessment (CAA) requirements, corrections to language in Chapter 2 to provide proper guidance on combining Omnibus Budget Reconciliation Act (OBRA) discharge assessments, an updated Internet Quality Improvement & Evaluation System (iQIES) warning error message in Chapter 5, updated screenshots in Section A and Section O, and an updated MDS Item Matrix. The errata document also includes all issues from previous MDS 3.0 RAI Manual v1.18.11R errata releases.

Changed manual pages are marked with the footer “October 2023 (R).”

The errata document begins with a table that lists all 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 20, 2023

UPDATED: Final MDS 3.0 Item Sets v1.18.11 v6

The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 have been updated and are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. Changes in this version (listed below) align the item sets with the Errata V3.01.3 for MDS Data Specifications V3.01.1 (FINAL) (PDF) posted September 21, 2023, on the Minimum Data Set (MDS) 3.0 Technical Information page. For a full list of changes to the final posted item sets since v1, see the Item Set Change Table Supplement that accompanies the posting. The MDS Item Sets v1.18.11 were effective beginning October 1, 2023.

M0300G1 on NPE                       Replaced erroneous skip pattern <Skip to N2005, Medication Intervention> with the correct one: <Skip to N0415, High-Risk Drug Classes: Use and Indication>.

O0300A on NP and NQ              Corrected transposition of verbs in skip patterns (changed <Skip> to <Continue> in choice 0 and <Continue> to <Skip> in choice 1).

O0400 on NC and NQ                 Removed completion language <Complete only when A0310B = 1 (complete O0400D2 when required by state)>.

O0400 on NP and SP                  Removed completion language <Complete only when A0310B = 1>.

O0420 on NC, NP, and NQ           Removed completion language <Complete only when A0310B = 1>.

September 8, 2023

MDS 3.0 RAI Manual v1.18.11 Errata – Now Available

The PDF file labeled “MDS3.0RAIManualv1.18.11R.Errata.September.8.2023” is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The errata document contains revisions to pages in Chapter 4 of the MDS 3.0 RAI Manual version (v)1.18.11R that better align the Care Area Assessments (CAAs) with the Care Area Trigger (CAT) CAAs to the CAT specifications, as well as a revision to Section D that corrects the Coding Instructions guidance for item D0160. Total Severity Score.

Changed manual pages are marked with the footer “October 2023 (R).”

The errata document begins with a table that lists all 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.

August 24, 2023

UPDATED: Final MDS 3.0 Item Sets v1.18.11 v5

The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 have been updated and are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. All item sets have been replaced with revised versions. The list below highlights all substantive changes or corrections since the final versions were first posted on April 3rd. Additionally, a number of other items (not listed) have had small changes to their formatting. This will be the final version of the MDS Item Sets v1.18.11 that will be effective beginning October 1, 2023.

A1005 on IPA     Corrected erroneous lettering of final subitem (changed A1005Z [wrong] to A1005Y [correct]).

A1200 on NC and NQ                 Corrected erroneous numbering scheme for responses (changed from 0-4 [wrong]) to 1-5 [correct]). 

A2121 on NQ                               Corrected typo (<Reference>) in choice 0.

B1300 on NPE                              Changed completion language to remove <Complete only if A0310G = 1>.

D0100 on NPE                              Changed completion language to remove <If A0130G=2 Skip to D0700. Otherwise.>

D0100 on NPE                              Corrected incorrect skip pattern in choice 0.

D0100 on IPA                               Removed erroneous skip pattern language.

D0150B on NQ                             Removed <or appearing> from item language.

D0700 on NPE                              Changed completion language to remove <Complete only if A0310G = 1>.

D0700 on ND                               Added completion language <Complete only if A0310G = 1>.

GG0130, Column 3, on NPE      Changed completion language to remove <and A2105 is not = 04>.

GG0170, Column 3, on NPE      Changed completion language to remove <and A2105 is not = 04>.

GG0170, Column 3, on SD         Corrected capitalization in item title from <stay> to <Stay> (on first page of two).

I0020 on IPA                                Corrected numbering of final option from 99 to 13.

J0530 on SD                                 Removed erroneous option 0 and corrected typo (<activites>) in question that the resident is being asked.

J0600 on NP                                 Corrected label for boxes from <Enter Code> to <Enter Rating>.

J1400 on NP                                 Corrected typo (inserted missing closing parenthesis at end of item text).

M0300 on SP                               Added missing item title to heading at top of page.

M0300C on NPE                          Corrected typo (removed period at end of item).

M1040 on NC                              Corrected typo in label in the gray area above subitem A (made <Problems> plural).

O0300A on NP and NQ              Corrected transposition of verbs in skip patterns (changed <Skip> to <Continue> in choice 0 and <Continue> to <Skip> in choice 1).

O0400 on NC and NQ                 Changed completion language to add <complete O0400D2 when required by state)>.

O0500 on IPA, NP, and SP         Removed extra box at left (items O0500D–O0500J had eight boxes for only seven items in the list) and realigned boxes on left with items on right.

X1100E on SD    Restored this subitem, which was missing in previous version.

August 22, 2023

NOW AVAILABLE: Final MDS 3.0 RAI User’s Manual v1.18.11

The final Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS 3.0 RAI User’s Manual v1.18.11 will be effective beginning October 1, 2023.

This version of the MDS 3.0 RAI Manual contains substantial revisions related to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), which requires that standardized assessment items be collected across Post-Acute Care (PAC) settings. Standardized data will enable cross-setting data collection, outcome comparison, exchangeability of data, and comparison of quality within and across PAC settings. Additionally, the language of the manual has been updated throughout to be gender neutral. Guidance and examples in numerous chapters and appendices have been revised for clarification and to reflect current regulations and best practices. Due to the scope of the revisions, CMS will not issue Replacement Pages for v1.18.11; those wishing to continue using a physical copy of the manual are encouraged to print the new version.

A document listing all changes from the MDS 3.0 RAI Manual v1.18.11 draft version to the final version is available for reference in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page.

August 15, 2023

UPDATED: Optional State Assessment (OSA) Item Set and OSA Manual

The Optional State Assessment (OSA) Item Set and OSA Manual have been updated, and the updated versions are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. Some items, listed below, have been corrected, and a number of other items have had small changes to their formatting. Screenshots in the manual have been updated, where needed, to reflect these changes.

The OSA is not a Federally required assessment; rather, it may be required in some States for payment purposes. Each State determines whether the OSA is required and if so, when the assessment must be completed. For questions regarding completion of the OSA, please contact your State Survey Agency.

The following corrections were made:

A0700        The word <patient> was changed to <recipient>.

C0300A      Erroneous numbering (1–4) was changed to the correct numbering (0–3). 

C0500         The wording of the instruction was changed from <Enter Code> to <Enter Score>.

O0100   The label above subitem Z was corrected from <Other> to <None of the above>.

August 14, 2023

Final MDS 3.0 RAI User’s Manual v1.18.11

Earlier today, messaging was posted on several Centers for Medicare & Medicaid Services (CMS) pages announcing the “Final” version of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.18.11. This messaging and the associated file was posted in error and is not the Final version the MDS 3.0 RAI User’s Manual v1.18.11. CMS expects to post the final version before the end of August.

July 07, 2023

UPDATED: Final MDS 3.0 Item Sets v1.18.11 v4

The final Minimum Data Set (MDS) 3.0 Item Sets version (v) 1.18.11 have been updated and are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The Interim Payment Assessment (IPA), Nursing Home Prospective Payment System (PPS) (NP), and Swing Bed PPS (SP)Item Sets have been replaced with revised versions; the remaining item sets remain unchanged from the last posted version. The MDS Item Sets v1.18.11 will be effective beginning October 1, 2023.

The Item set edits are noted below.

IPA item set

O0500 contained an additional response box which was removed

A1005 response option Z. was changed to response option Y.

NP item set

O0500 contained an additional response box which was removed

SP item set

O0500 contained an additional response box which was removed

 

Page Last Modified:
01/29/2024 01:20 PM