Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
This package: CMS-10387, dated February 7, 2023, is a request for a revision to the current Minimum Data Set (MDS) assessment instrument for the Skilled Nursing Facility (SNF). This package represents a request from the Centers for Medicare & Medicaid Services (CMS) to implement the MDS 3.0 v1.18.11 beginning October 1, 2023 to October 1, 2026 in order to meet the requirements of policies finalized in the Federal Fiscal Year (FY) 2020 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) final rule (CMS-1718-F, RIN 0938-AT75). A PRA package was submitted at the time of the finalized policies and approved on 11/22/2019, but the compliance date for the finalized policies (10/01/2020) was delayed due to the COVID-19 public health emergency (PHE).1 The interim final rule with comment period that appeared in the May 9, 2020 Federal Register (85 FR 27550) delayed the compliance date for certain reporting requirements under the SNF QRP (85 FR 27596 through 27597). Please note, however, the burden was never retracted, and the implementation of the instrument was simply delayed. While there has been no change in assessment-level burden since the approval of the MDS 3.0 v1.17.2, there has been a change in total burden since 2019 when the package was originally approved due to a decrease in the number of MDS assessments completed and a change in the hourly rate for clinicians completing the assessment.
This package complies with the Paperwork Reduction Act and pertains to the collection of data pertaining to PDPM and the SNF Quality Reporting Program (QRP) – CMS’ paperwork for OMB. The package is NOT the FINAL MDS 3.0 Item Sets. The Item Sets in this .zip file are those used for the SNF QRP.
When you open it, review these items in particular:
The entire package is important for all LTC facilities that encode and submit MDS Item Sets. Please review with your team and share with your colleagues. Pay special attention to B.12 starting on page 8 of the 15 page Support Statement A document as it addresses Burden Estimate with more details in Section 15.