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CMS’ Train-the-Trainer information update

MDS 3.0 Update, April 19, 2010

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During the MDS 3.0 Train-the-Trainer conference in Baltimore last week, CMS officials provided an overview of the new assessment tool, step-by-step coding explanations for multiple sections, and interesting information regarding the RUG-IV delay and changes to the MDS 3.0 and RAI User’s Manual.

• If the partial RUG-IV delay is implemented as outlined in healthcare reform, CMS will develop a modified RUG-III system to work with the MDS 3.0. Although they are in the process of creating this modified system, CMS officials said it would not be ready for the October implementation of the MDS 3.0. When CMS figures out a transition approach and what tool will be used during this time, they will inform providers. However, CMS officials seemed to think there is still a chance that RUG-IV will be implemented on October 1, 2010, as originally planned.
• Updated versions of the MDS 3.0 Item Sets and RAI User’s Manual are expected to be published in late May or early June.
• A change to Appendix P of the State Operations Manual is expected to be released in early August. This change will address  modifications to the survey process while the QM/QI reports are not available.
• The updated RAI User’s Manual will change the timeframe to conduct the Resident Mood Interview (PHQ-9). Although recommended, the PHQ-9 interview will no longer have to be conducted the day before or the day of the ARD, but rather anytime during the assessment look back window.
• Facilities will have to manually trigger the Return to Community Care Area Assessment (CAA) until the first update, which is likely to occur in January 2011. After the first update, this CAA will trigger automatically based on MDS coding.

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