BREAKING NEWS: CMS Posts Final Version of RAI Manual for October 2019

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

CMS posted the official version of the RAI User’s Manual, v1.17.1after business hours on Wednesday, September 18, 2019.  Providers were given the draft version in May of this year so that they could begin preparing for the updated Item Set as well as PDPM reimbursement that begins October 1, 2019 – 12 days from now.  For reference, this version has 1309 pages; the May version has 1299 pages.  Another way to differentiate the May version from this version is on the title page – this version identifies the User’s Manual as v1.17.1 while the May version is identified as v1.17.

Here’s what CMS says about this release(bolding and italics added by me):

This page contains the MDS 3.0 RAI Manual v1.17.1 and MDS forms, effective October 1, 2019. This version of the MDS 3.0 RAI Manual incorporates clarifications to existing coding and transmission policy;it also addresses clarifications and scenarios concerning complex areas. Since the preliminary release of the manual on May 20, 2019, changes have been made to clarify which assessments swing bed providers must complete; the definition of the “interruption window” for interrupted Part A-covered stays; the coding of item I0200B; and changes related to group therapy policies, as well as other corrections.Please see the document titled “MDS 3.0 RAI Manual v1.17.1 Replacement Manual Pages and Change Tables_October 2019” posted in the Related Links section at the bottom of this page.

MDS 3.0 RAI Manual v1.17.1 October 2019

  • A single PDF file of the entire RAI manual for use as an electronic version with bookmarks that you can click on to take you to each section of the manual.

MDS 3.0 RAI Manual v 1.17.1 and Change Tables October 2019

  • Traditional zip files of the RAI manual and the change tables that crosswalk the changes made to this year’s manual. Note: This is the same material as the item above, except there are separate files for each chapter or subchapter.

MDS 3.0 RAI Manual v1.17.1 Replacement Manual Pages and Change Tables October 2019

  • Replacement pages for this year’s manual changes for those who want to update their existing paper-based manual with just the pages that have changed. It also includes the change tables that crosswalk the changes made to this year’s manual.

MDS3.0 Final Item Sets v1.17.1 for Oct 1 2019 

Scroll down this webpage and you’ll see this:

Briggs customers may purchase this manual with an annual subscription with auto-renewal in 2 different formats:

Compact Print Manual or Digital-only (coming soon!).  If you already subscribe to our 1862 manual, you’ll be receiving this update soon.

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