Information Collection
Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) Item Sets (NP, NO/SO, NS, NOD, NSD)
IC 197759 under ICR 201603-0938-003 · OMB 0938-1140.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1140 can be found here:
Documents and Forms
| Document Name | Document Type |
|---|---|
Form CMS-10387Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) Item Sets (NP, NO/SO, NS, NOD, NSD) |
Form and Instruction |
CMS-10387 Nursing Home PPS (NP) Item SetMDS3 0_NP_PPS_v1 11 1.pdf | Form and Instruction |
|
CMS-10387 Nursing Home OMRA-Start of Therapy and Discharge (NSD) I MDS3 0_NSD_OMRA-SOT-Dschg_v1 11 1.pdf | Form and Instruction |
|
CMS-10387 Nursing Home and Swing Bed OMRA-Start of Therapy (NS/SS) MDS3 0_NS_SS_OMRA-SOT_v1 11 1.pdf | Form and Instruction |
|
CMS-10387 Nursing Home OMRA-Discharge (NOD) Item Set MDS3 0_NOD_OMRA-Other-Dschg_v1 11 1.pdf | Form and Instruction |
|
CMS-10387 Nursing Home and Swing Bed OMRA (NO/SO) Item Set MDS3 0_NO_SO_OMRA-Other_v1 11 1.pdf | Form and Instruction |