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MDS 3.0 This web page is dedicated exclusively to MDS 3.0. LeadingAge Connecticut remains your partner in the implementation of MDS 3.0. We have listed a variety of resources for you and will continuously update this page as new resources become available. Do you have a suggestion for a resource? Email us at leadingagect@leadingagect.org.
************************************************************** News and Alerts:
April 1, 2012 MDS Updates:
From the QIES Technical Support Office:
Important MDS 3.0 Update Required:(Posted 02/27/2012)
MDS 3.0 requires new items on assessments with a Target Date of 04/01/2012 and later. Failure to upgrade your software will result in fatal errors. Contact your software vendor for a software upgrade prior to encoding assessments with a Target Date of 04/01/2012 and later. The enhanced software should incorporate the changes contained in the MDS 3.0 Submission Specs V1.10.1, which can be found at:
http://www.cms.gov/NursingHomeQualityInits/30_NHQIMDS30TechnicalInformation.asp
jRAVEN users will find jRAVEN 1.1.4 available for download after 03/27/2012 at https://www.qtso.com/ravendownload.html. This upgrade incorporates the changes beginning 04/01/2012.
Announcement from CMS: January 2012: CMS has posted a video slideshow presentation from the Thursday, November 3, 2011 National Provider Call on the “Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Minimum Data Set (MDS) 3.0 and Resource Utilization Group-Version 4 (RUG-IV) Policies and Clarifications” to the CMS YouTube Channel. During this National Provider Call, CMS subject matter experts provided an overview of the policies, along with clarifications on the SNF PPS FY2012 policies related to the MDS 3.0. The agenda included:
September Updates: On Sept. 13, Aegis Therapies presented an audio conference, co-sponsored by LeadingAge on the MDS 3.0 reporting changes for FY 2012, effective Oct. 1. The Power Point presentation and the audio recording is now available for all LeadingAge members. For more information on the SNF PPS 2012 final rule, please visit the LeadingAge website.
CMS has released follow-up and clarifications on the MDS reporting changes from the Aug. 23 National Provider audio calls.
The following new MDS 3.0 technical information was posted: http://www.cms.gov/NursingHomeQualityInits/30_NHQIMDS30TechnicalInformation.asp#TopOfPage For the April, 2012 MDS 3.0 implementation:
In follow-up to the All State RAI/SMA call on Tuesday, September 20th, please note that the following Long-Term Care Facility Resident Assessment Instrument User’s Manual, MDS 3.0 (RAI Manual) zip files have been updated since the last update on 8/31/11:
MDS 3.0 RAI Manual V1.07 (August 31, 2011) · These updates will be effective as of October 1, 2011. · Change-table files are included only for sections of the manual that have changes that will be effective October 1, 2011. Sections that have been updated include: Title Page, Table of Contents, Chapter 1, Chapter 2, Chapter 3 (Introduction, Sections: C, H, I, K, M, N, and O), Chapter 4, Chapter 6 and Appendices (A, B, C, and E). · Files from earlier versions (e.g., V1.05 May 2011) are contained in the manual but do not have an associated change table file. · The month/year located at the bottom of each manual pages reflects the effective date of the content (e.g., October 2011 for V1.07).
MDS Medicaid RUG Calculation DPH Memo August 24, 2011: Click here
MDS 3.0 Technical Information August 3, 2011: https://www.cms.gov/NursingHomeQualityInits/30_NHQIMDS30TechnicalInformation.asp#TopOfPage What's New - Version 1.02.1 of the data submission specs was posted. One of the purposes of the new version of the data specifications, Version 1.02, is to support changes associated with SNF PPS that were described in the FY 2012 SNF PPS proposed rule that was published in May 2011 and finalized in the final rule that was published in August 2011 . Version 1.02.0 of the data submission specifications was marked "draft" because that version was based upon the proposed rule. Version 1.02.1 is based upon the final rule and can be considered final.
MDS 3.0 Training Materials Update: MDS 3.0 RAI Manual (Chapter 3) V1.06 July 2011 Note: Appendix A and Section M have been updated to clarify the definition of "worsening." The clarification is as follows: Pressure ulcer "worsening" is defined as a pressure ulcer that has progressed to a deeper level of tissue damage and is therefore staged at a higher number using a numerical scale of 1-4 (using the staging assessment determinations assigned to each stage; starting at the stage 1, and increasing in severity to stage 4) on an assessment as compared to the previous assessment. For the purposes of identifying the absence of a pressure ulcer, zero pressure ulcers is used when there is no skin breakdown or evidence of damage.'
The following 2 videos have been posted on YouTube and are available for download:
Interdisciplinary Team Video: This video addresses some of the common questions about the MDS 3.0. The panelists: Dr. Debra Saliba, Ellen Berry, Ann Spenard and Tracy Montag are clinicians that have been instrumental in the development of the MDS 3.0 and RAI manual. In this video they discuss the MDS 3.0 interviews, particularly the Mood PHQ-9 interview, the importance of the interdisciplinary team and the resident-centered focus of the MDS 3.0 Facility Leadership Video: This video addresses some of the topics that facility management should consider when operationalizing the MDS 3.0 in their facilities. Contributors include Dr. Debra Saliba, Jack Williams (CMS), Karen Schoeneman (CMS), Dr. Christa Hojlo (VA), and Tracy Montag. Included is background on the motivation for creating the MDS 3.0, the use and value of the assessment instrument, impact on resident care, and practical considerations for implementing the MDS 3.0.
June 11, 2011: CMS Memo: 'The Use of Dashes in Completing the MDS 3.0 Assessment: Potential Impact to Beneficiaries and Nursing Home Facilities' This memo conveys information to providers on a data issue - regarding the possible overuse of dashes. This memo is an official document intended to help providers understand both when to code dashes and the potential adverse impact of inappropriate use of a dash (-) when completing a MDS assessment.
MDS 3.0 RAI Manual Update, May 25, 2011 (a zip file contains 58 files) This zip file is the complete manual and contains all manual chapters / sections / appendices / title page / Table of Contents / forms (58 files). Files containing revisions in this update include: Title Page, Table of Contents, Chapter 1, Chapter 2, Chapter 3 (Introduction, Sections: A, B, D, F, G, I, J, K, M, N, O, and Q), Chapter 5, Chapter 6 and Appendices (A, B, C, E, and H). Files from earlier versions (e.g., September 2010) are contained in the manual but do not have an associated change table file; Please note that the month/year located at the bottom left on the manual pages reflects when that file was last updated (e.g., May 2011 for this latest version).
Archived Change Tables May 25, 2011 (a zip file contains 8 files) describes all the changes done for this update. CMS has also updated the complete list of all RAI MDS Coordinators, by state.
MDS 3.0 Training Videos Updated by CMS
The Centers for Medicare and Medicaid Services (CMS) posted new MDS 3.0 training videos to the CMS YouTube Channel. The new updates are for Section M: skin conditions, Evening Experts Panel Discussion, and Dr. Deb Saliba's introduction. Contact: Iara Woody, 202-508-9429.
NQF Announcement : New Quality Measures NQF Endorses 21 Measures for Nursing Homes Measures for Public Reporting and Quality Improvement to be Used in Nursing Home Compare click here
Missed a previous News & Alert? See our Archive at the bottom of the page.
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Key Contacts for MDS 3.0 Questions CMS For questions on various topics, nursing homes should use the emails below:
mds30comments@cms.hhs.gov - MDS coding questions (regulation related to MDS, reimbursement, etc).
mdsformedicaid@cms.hhs.gov - Section Q
help@qtso.com - transmission/validation issues, MDS 3.0 Provider User's Manual available here as well which outlines error messages (Chapter 5). For how to bill Medicare, nursing homes should contact their Fiscal Intermediary.
mdstechissues@cms.hhs.gov - for technical questions on “specs”, RUG specs, and the CMS jRAVEN software.
DPH Karen Gworek, CT MDS RAI Coordinator – Karen.Gworek@ct.gov Gene Madlon, CT MDS Automation Coordinator – Eugene.Madlon@ct.gov
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CANPFA MDS 3.0 Educational Programming
What Leadership Needs to Know about MDS 3.0 Teleconference Recording
CANPFA provided a member exclusive teleconference for Nursing Home Leadership about MDS 3.0. MDS 3.0 has changed the way we work and talk. Language and meanings have changed from 2.0 to 3.0, responsibilities have shifted, interaction with residents has intensified, and so on. This teleconference addressed those changes. It provided a high level overview of the changes from 2.0 to 3.0 and addressed the operational considerations for such changes. Ann Spenard served as the featured speaker. Ann is a MDS 3.0 expert and contributing author to the RAI manual. The call was recorded and is available until December 24th. The replay can be reached by calling the number and entering the replay passcode. Call: 1-888-203-1112 Replay Passcode: 70180606 Download the handouts here
MDS 3.0 Update Call Recording
CANPFA provided a MDS 3.0 Update Conference Call featuring Ann Spenard for the attendees of the June MDS 3.0 training. Ann discussed the changes and final decisions made on MDS 3.0 as well as the much anticipated transition plan from 2.0 to 3.0. The call was recorded and is available until November 23rd. The replay can be reached by calling the number and entering the replay passcode. Call: 1-888-203-1112 Replay Passcode: 75887628
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Weekly MDS 3.0 Conference Calls in October, November and December
A CANPFA member exclusive MDS 3.0 conference call will be offered every week throughout the month of October and November 2010. These conference calls are to serve as the forum for members to ask questions and learn from each other as MDS 3.0 implementation rolls out. Conference calls will be held at 11 a.m. on Mondays in October and November. Conference calls will be held bi-weekly in December (Dec 6 and Dec 20). Conference Call Number: 1-800-326-0013 Conference ID: 9164502
MDS 3.0 - October 4th Conference Call Questions click here MDS 3.0 - October 11th Conference Call Question click here MDS 3.0 - October 18th Conference Call Questions click here MDS 3.0 - October 25th Conference Call Questions click here MDS 3.0 - November 1st Conference Call Summary click here MDS 3.0 - November 8th Conference Call Summary click here MDS 3.0 - November 15th Conference Call Summary click here MDS 3.0 - November 22nd Conference Call Summary click here MDS 3.0 - December 6th Conference Call Summary click here MDS 3.0 - December 20th Conference Call Summary - updated 12/23/10 click here
************************************************************** MDS 3.0 Letter to Families MDS 3.0 is a huge transition for nursing home staff, residents and families. CANPFA has drafted a letter that can be used to inform families about the change to MDS 3.0 and the increased use of interviews in the assessment process. Please feel free to augment this letter and personalize it to your facility. You can download the letter by clicking here.
************************************************************** CMS Updates and Available Resources
MDS 3.0 Helpful Hints The "MDS 3.0 Helpful Hints Document" is an overview for providers of the steps required to submit an MDS 3.0 file, verify its submission status, and obtain a Final Validation report. The document states that it is strongly recommended that providers access and review the MDS 3.0 Resident Assessment Instrument Manual and the CASPER Reporting User’s Manual from the MDS 3.0 Welcome page, which can be accessed when nursing homes sign into CASPER.
MDS Transition Plan The Centers for Medicare and Medicaid Services (CMS) has released the "transition plan" regarding the move from MDS 2.0 to MDS 3.0. The transition plan can be accessed by clicking here. For a breakdown of the options available to facilities for the transition between the RUGs III and IV, acess the following link: RUG-III to RUG-IV transition for the August 24, 2010 audio-conference [ZIP, 16KB]
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CMS hosted a series of calls on key aspects of the resource utilization group, version IV (RUGs-IV) skilled nursing facility prospective payment case mix system, which will be put into place on Oct. 1. CMS recently released links to all audio, Power Point presentations, and reference material developed for these calls. The presentation slides and call audio are now available for the Sept. 1 call on the short stay algorithm and RUGs IV case mix indices. For the Aug. 4 call on the RUG III to RUGs IV transition, you can now download the audio-conference reference material, presentation slides, and call audio. For the June 23 call on the look-back period, activities of daily living coding requirements and skilled therapy, the presentation slides, transcript and call audio are available.
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MDS 3.0 Resident Assessment Instrument Manual
A free copy of the MDS 3.0 RAI manual is available by clicking here: MDS 3.0 RAI Manual September 2010 [ZIP 21 MB]
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Technical information re: MDS 3.0 can be accessed at: http://www.cms.gov/NursingHomeQualityInits/30_NHQIMDS30TechnicalInformation.asp
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YouTube Training Videos for MDS 3.0:
Please click on the appropriate YouTube Link under "Related Links Outside of CMS" (at the bottom of the page). You can access all videos by visiting:https://www.cms.gov/NursingHomeQualityInits/45_NHQIMDS30TrainingMaterials.asp You can also visit the "CMS YouTube Channel" at www.youtube.com/cmshhsgov. Also Available - Downloadable Videos (in MP4) for all training videos also on YouTube.
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LeadingAge Updates and MDS 3.0 Webpage
LeadingAge has a webpage dedicated to MDS 3.0. Included on this page are video clips of the national MDS 3.0 training CMS hosted and video demonstrations of MDS 3.0 items. Please check regularly for updates and announcements:http://www.aahsa.org/MDS3.0_RaiManual/
SECTION Q RESOURCES
CMS has just finalized and released important information and resources for Section Q of the MDS 3.0, including Local Contact Agency contact list for every state, a generic brochure that nursing homes can use as educational material for their residents, best practice tools, Q&As, training materials and videos, etc. Direct links to all resources are available below. All this information is also available on the
LCA Point of Contact List Final MDS 3.0 Section Q Point of Contact information by state for provider and professional reference regarding the state’s local contact agency (LCA) and section Q coordination information.
Section Q Implementation Q & As 09-21-10.doc This is an updated CMS MDS 3.0 Section Q questions and answers document.
This brochure allows adding typed Medicaid Agencies, MFP programs, ADRCs, Ombudsman, etc. contact information or to be printed and contact labels added in color or black and white. Residents and family members can call 1-800-MEDICARE to order a free copy. For providers to order the brochure, use the following instructions: Please visit and set up an account to order. Once your account is approved you will be able to log on and place orders.
Section Q and Money Follows the Person (MFP) Videos This 10-minute video of two recently transitioned nursing home residents provide perspectives on returning to home after being admitted to a nursing home.
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Other Useful Resouces Electronic Signatures
CMS has ruled that electronic signatures are acceptable for MDS 3.0 submission. CMS published its ruling in the following Survey and Certification Letters: S&C-04-46 (9/9/04) and S&C-05-14- (1/13/05). You can access them via the following link: https://www.cms.gov/SurveyCertificationGenInfo/PMSR/list.asp
************************************************************** MMSE vs BIMS
The BIMS total score is highly correlated with Mini-Mental State Exam. The following distributions have been suggested:
· 13-15 Cognitively intact · 8-12 Moderately impaired · 0-7 Severe impairment
************************************************************** Interview Cue Cards
MDS 3.0 Training Aids, including interview cue cards can be accessed by clicking here
************************************************************** Free Clinical Resources MedQIC is Medicare’s Quality Improvement Clearinghouse. It is a website full of free resources. Tools, articles and other resources are available for download. Nursing Home Specific Tools can be accessed by clicking here
CMS has made available to all providers a separate link on the CMS Web site devoted to Section Q. On this link providers can find the most up to date point of contact list and Section Q Q& A document, best practice tools and links to CMS Section Q training, brochure and videos resources.
************************************************************** Archive: News and Alerts
Read the joint AoA-CMS Letter Promoting Opportunities for Coordination Related to Section Q Implementation
11-23-10 CMS posted training videos for Sections J, X and Z. Watch them on YouTube or download them at http://www.cms.gov/NursingHomeQualityInits/45_NHQIMDS30TrainingMaterials.asp#TopOfPage
11-22-10 Questions from panel at Annual DPH Conference
11-15-10 CANPFA will continue weekly member-only MDS 3.0 conference calls in December! Click here for call in information and schedule.
11-8-10 Just released! MDS 3.0 Helpful Hints Document and the most common error codes.
11-4-10 QTSO Memo: State Specific Item Sets
11-3-10 DPH Blast Fax Annoucement: MDS 3.0 Updates
10-29-10 Survey & Certification Memo: Guidance to Surveyors re: F287 Timely MDS Submissions 10-20-10 We want to know your MDS 3.0 Software Provider! http://www.surveymonkey.com/s/6SJDXL6
10-22-10 QTSO Memo: MDS 3.0 Assessment Submission and Processing Resolved
CMS has posted the Videos for Interviewing Vulnerable Elders (VIVE) and additional coding videos. Scroll down for more information!
11-9-10 QTSO Memo: MDS 3.0 Vendor Call on November 18th, 2-3:30 pm
11-9-10 QTSO Memo: MDS 3.0 NH Provider and SB Provider Reports Temporarily Disabled
11-8-10 DPH Announcement: Submit October 2010 Fatal Rejections
11-8-10 CMS Call on RUGs IV: November 9. Download the presentation. Registration for the call is now closed.
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