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

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

On Tuesday, August 15, 2023 CMS posted this notification regarding the OSA:

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>.

The direct link to the 2nd version of the OSA Item Set and Manual is found here.