Q & A – Will a set of updated item sets be released along-side this Errata or will the existing v3.00.3 items sets remain the official item sets?

by | Jun 17, 2020 | Consulting, MDS, PDPM

Q:

Will a set of updated item sets be released along-side this Errata or will the existing v3.00.3 items sets remain the official item sets?

 

A:

In response to State Medicaid Agency and stakeholder requests, CMS has updated the MDS 3.0 item sets (version 1.17.2) and related technical data specifications. These changes will support the calculation of PDPM payment codes on OBRA assessments when not combined with the 5-day SNF PPS assessment, specifically the OBRA comprehensive (NC) and OBRA quarterly (NQ) assessment item sets, which was not possible with item set version 1.17.1. This will allow State Medicaid Agencies to collect and compare RUG-III/IV payment codes to PDPM ones and thereby inform their future payment models.

 

Excerpted from CMS MDS 3.0 Vendor Call on June 11, 2020.



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