Crosswalk

Crosswalk for Changes to MDS 3.0

CMS 10387

OMB #0938-1140

Approved February 12, 2019	2019 (CMS-1718-F, RIN 0938-AT75)	Type of change	Reason for change	Burden Change
Require only two scheduled assessments (as opposed to the current requirement for five scheduled assessments) for each SNF stay for the purposes of the PDPM: A 5-day scheduled PPS assessment (Item Set NP) and a discharge assessment (Item Set NPE). Make available one optional assessment, an Interim Payment Assessment (IPA Version 1.17.1), for purposes of the Patient Driven Payment Model (PDPM): Includes the following MDS version 1.11.1 item sets effective 10/1/2013: NP, NSD, NS/SS, NOD, and NO/SO.	Require two scheduled assessments for each SNF stay for the purposes of the PDPM: A 5-day scheduled PPS assessment (Item Set NP) and a discharge assessment (Item Set NPE). These same item sets (NP and NPE) are used to collect and report data for each SNF stay for the purposes of the SNF QRP. The IPA is optional only for the purposes of the PDPM and is not used for the SNF QRP. Includes updated MDS item sets: NP Version 1.17.1, effective 10/1/2019 NPE Version 1.17.1 effective 10/1/2019 IPA Version 1.17.1 effective 10/1/2019 NO/SO Version 1.16.1 effective 10/1/2018	Revision	With the adoption of standardized patient assessment data elements in CMS-1718-F, the MDS has achieved standardization with other applicable PAC assessment instruments, and is therefore no longer exempt from PRA requirements in accordance with 1899B(m) of the Social Security Act (the Act) Updated to include the most current versions of the MDS item sets	Burden is unchanged
125 items on the PPS discharge assessment. 18 items added to the PPS discharge assessment for a total of 143 items.	Adding 8 items to the PPS 5-day assessment and 51.5 items to the PPS discharge assessment (CMS-1718-F, sections E.1.d and E.1.g.). See final item set section mockups of associated with the addition of the 59.5 new data elements that will be required for collection beginning 10/1/2020 also available at: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/Final-SNF-QRP-Item-Mockups-Effective-October-1-2020.	Revision	To satisfy requirements pursuant to 1899B(b)(1) of the Act and 1899B(c)(1)(E) of the Act	Burden will increase; however, this increase is more than offset by using OMRA as a proxy for all assessments