CMS MDS 3.0 RAI Manual Updates Include Significant PDPM-Related Changes
On May 20th the Centers for Medicare and Medicaid Services (CMS) issued an early release of several files associated with the MDS 3.0 RAI Manual v1.17 that contains many updates including information related to the Patient Driven Payment Model (PDPM), both of which are effective on October 1, 2019. CMS indicates that “this early release is being provided in response to stakeholder feedback.” CMS also encourages providers to check back to the MDS-RAI webpage prior to October 1, 2019 for a final posting which may contain additional updates.
Specific Chapters in the new MDS-RAI manual updates related to PDPM to pay particular attention to are Chapter 2, which addresses the new PDPM-related MDS assessments and assessment schedule, and Chapter 6, which addresses the new PDPM resident classification process for the PDPM payment model. Other changes related to the new PDPM MDS Items, such as the new diagnosis items in Section I, surgery type in section J, as well as the new PDPM HIPPS codes in Section Z should also be looked at closely.