CMS Posts DRAFT MDS 3.0 Item Sets for October 1, 2019 Release

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare®

As promised, CMS posted the DRAFT MDS 3.0 v1.17 Item Sets late in the day on January 3, 2019.  (If MDS runs in your blood too, you’ve been watching for this as well!)  This information can be found at:

www.cms.gov/Medicare/…

Scroll down this page to Downloads to find: www.cms.gov/Medicare/…

In this .zip file you’ll see:

I recommend you start with a review of the Item Changes (also a DRAFT) document for v1.17.  You’ll see the changed/new items in this document.

You’ll note that there are a couple of new Item Sets – IPA and OSA.  The former is the Interim Payment Assessment; the latter is the Optional State Assessment (an option for Medicaid case-mix states).  CMS is retiring eight (8) Item Sets – NO/SO, NOD. NS/SS, NSD, SOD and SSD effective 10/1/2019.  Remember, October 1, 2019 sees the retirement of the current RUG reimbursement and the “birth” of the PDPM reimbursement system for SNF PPS.  The changes on the v1.17 Item Sets reveal the items that will be used (and not used) for PDPM reimbursement.

I’m just starting to look closely at the changes.  I’ve already spotted new item A0300 to designate Optional State Assessment, changes to A0310B, J2100 + a full page of Surgical Procedures, O0425, O0430, V0100B changes and the changes in Z0100 – Z0300.   Watch the BriggsNetNews LTC blog for my future postings on the DRAFT Item Sets as I work with/digest the changes.

Nothing is posted on the website for the RAI Manual as of this point in time but that could change as time goes on.  During the November 2018 SNF/LTC Open Door Forum, CMS announced that they would be posting the DRAFT MDS 3.0 Item Sets as well as the DRAFT RAI User’s Manual in January.  I’ll keep watching for the posting of the DRAFT RAI User’s Manual and will let you know when it’s available for review.