Crosswalk

Crosswalk for Changes to the Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) Version 5.0 to 5.1

(CMS-10409; OMB No. 0938-1163)

Section # on Current ADMISSION DRAFT LCDS (10/24)	Type of Change	Rationale for Change
SECTION D: MOOD	D0150. Patient Mood Interview (PHQ-2 to 9) (from Pfizer Inc.©): Add guidance for completing the items.	Additional guidance was added to the LCDS manual for this item after the Item Set was published. This change aligns the LCDS item set with the guidance.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Revise Section title to SECTION GG: FUNCTIONAL ABILITIES	Given the changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule, CMS will no longer collect Functional Goal data.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	GG0130. Self-Care Instructions. Delete 2nd sentence of instructions.	The requirement for coding a patient’s discharge goal(s) would no longer be required.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2. Discharge Goal header.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.A. Discharge Goal, Eating.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.B. Discharge Goal, Oral hygiene.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.C. Discharge Goal, Toileting hygiene.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.1.D. Admission Status, Wash Upper Body.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.2.D. Discharge Goal, Wash Upper Body.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2. Discharge Goal header.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.A. Discharge Goal, Roll left and right.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.B. Discharge Goal, Sit to lying.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.C. Discharge Goal, Lying to sitting on side of bed.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.D. Discharge Goal, Sit to stand.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.E. Discharge Goal, Chair/bed-to-chair transfer.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.F. Discharge Goal, Toilet transfer.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.G. Discharge Goal, Car transfer.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.I. Discharge Goal, Walk 10 feet.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.J. Discharge Goal, Walk 50 feet with two turns.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.K. Discharge Goal, Walk 150 feet.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.L. Discharge Goal, Walk 10 feet on uneven surfaces.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.M. Discharge Goal, 1 step (curb).	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.N. Discharge Goal, 4 steps.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.O. Discharge Goal, 12 steps.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.P. Discharge Goal, Picking up object.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.R. Discharge Goal, Wheel 50 feet with two turns.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0170.2.S. Discharge Goal, Wheel 150 feet.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.

Section # on Current PLANNED DISCHARGE DRAFT LCDS (10/24)	Type of Change	Rationale for Change
SECTION D: MOOD	D0150. Patient Mood Interview (PHQ-2 to 9) (from Pfizer Inc.©): Add guidance for completing the items.	Additional guidance was added to the LCDS manual for this item after the Item Set was published. This change aligns the LCDS item set with the guidance.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Revise Section title to SECTION GG: FUNCTIONAL ABILITIES	Given the changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule, CMS will no longer collect Functional Goal data.
SECTION GG: FUNCTIONAL ABILITIES AND GOALS	Delete GG0130.3.D. Discharge Status, Wash Upper Body.	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.
SECTION O: SPECIAL TREATMENTS, PROCEDURES, AND PROGRAMS	Add: Item O0350. Patient’s COVID-19 vaccination is up to date	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.

Section # on Current UNPLANNED DISCHARGE DRAFT LCDS (10/24)	Type of Change	Rationale for Change
SECTION O: SPECIAL TREATMENTS, PROCEDURES, AND PROGRAMS	Add: Item O0350. Patient’s COVID-19 vaccination is up to date	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.

Section # on Current EXPIRED DRAFT LCDS (10/24)	Type of Change	Rationale for Change
SECTION O: SPECIAL TREATMENTS, PROCEDURES, AND PROGRAMS	Add: Item O0350. Patient’s COVID-19 vaccination is up to date	Necessary to implement changes proposed by the FY 2024 IPPS/LTCH PPS Proposed Rule.

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