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)

Minimum Data Set 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) for the Collection of Data Related to the Patient Driven Payment Model and the Skilled Nursing Facility QRP (CMS-10387)

OMB: 0938-1140

IC ID: 197759

Documents and Forms

Document Name Document Type
Form CMS-10387 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) Form and Instruction
CMS-10387 Nursing Home PPS (NP) Item Set MDS 3.0 NP-PPS Item Set v1.19.1.pdf Form and Instruction
CMS-10387 Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual (Cover Only) Draft_MDS-3.0-RAI-Manual-v1.19.1_October_2024.pdf www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual Form and Instruction
CMS-10387 Nursing Home Part A PPS Discharge (NPE) Item Set MDS 3.0 NPE Item Set v1.19.1.pdf Form and Instruction
CMS-10387 Interim Payment Assessment (IPA) Item Set MDS 3.0 IPA Item Set v1.19.1.pdf Form and Instruction
CMS-10387 Swing Bed Discharge (SD) Item Set MDS 3.0 SD Item Set v1.19.1.pdf Form and Instruction
CMS-10387 Swing Bed PPS (SP) Item Set MDS 3.0 SP-PPS Item Set v1.19.1.pdf Form and Instruction
MDS 3.0 Item Set Change History v1.19.1.pdf Change Table IC Document