Crosswalk

Crosswalk for Changes to the Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) Version 5.2 to 5.3

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

Section # on Approved ADMISSION DRAFT LCDS (10/26)	Type of Change	Rationale for Change
SECTION A: ADMINISTRATIVE INFORMATION	Remove A800. Gender.	This item is being updated to A0810 to be consistent with EO 14168 Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.
SECTION A: ADMINISTRATIVE INFORMATION	Add A0810. Sex	Item updated to be consistent with EO 14168 Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.
SECTION A: ADMINISTRATIVE INFORMATION	Add A1255. Transportation (from NACHC©) with citation.	Adding this item (replacing R0340. Transportation) to implement changes proposed in the FY 2026 IPPS/LTCH PPS proposed rule (available https://www.federalregister.gov/d/2025-06271)
SECTION GG: FUNCTIONAL ABILITIES	Replace 3-day assessment period with 4-day assessment period for GG0130. Self-Care	Necessary to implement changes finalized in the FY 2025 IPPS/LTCH Final Rule.
SECTION GG: FUNCTIONAL ABILITIES	Replace 3-day assessment period with 4-day assessment period for GG0170. Mobility	Necessary to implement changes finalized in the FY 2025 IPPS/LTCH Final Rule.
SECTION H: BLADDER AND BOWEL	Replace 3-day assessment period with 4-day assessment period for H0350. Bladder Continence	Necessary to implement changes finalized in the FY 2025 IPPS/LTCH Final Rule.
SECTION H: BLADDER AND BOWEL	Replace 3-day assessment period with 4-day assessment period for H0400. Bowel Continence	Necessary to implement changes finalized in the FY 2025 IPPS/LTCH Final Rule.
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Remove new Section of LCDS	Given the changes proposed in the FY 2026 IPPS/LTCH PPS proposed rule (available https://www.federalregister.gov/d/2025-06271f), CMS will remove this section of the LCDS.
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Remove R0310. Living Situation with citation.	Necessary to implement changes finalized in the FY 2026 IPPS/LTCH Final Rule.
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Remove R0320.A and R0320B. Food with citation.	Necessary to implement changes finalized in the FY 2026 IPPS/LTCH Final Rule.
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Remove R0330. Utilities with citation.	Necessary to implement changes finalized in the FY 2026 IPPS/LTCH Final Rule.
SECTION R: HEALTH-RELATED SOCIAL NEEDS	Remove R0340. Transportation with citation.	Necessary to implement changes finalized in the FY 2026 IPPS/LTCH Final Rule.

Section # on Approved PLANNED DISCHARGE DRAFT LCDS (10/26)	Type of Change	Rationale for Change
SECTION A: ADMINISTRATIVE INFORMATION	Remove A800. Gender.	This item is being updated to A0810 to be consistent with EO 14168 Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.
SECTION A: ADMINISTRATIVE INFORMATION	Add A0810. Sex	Item updated to be consistent with EO 14168 Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.

Section # on Approved UNPLANNED DISCHARGE DRAFT LCDS (10/26)	Type of Change	Rationale for Change
SECTION A: ADMINISTRATIVE INFORMATION	Remove A800. Gender.	This item is being updated to A0810 to be consistent with EO 14168 Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.
SECTION A: ADMINISTRATIVE INFORMATION	Add A0810. Sex	Item updated to be consistent with EO 14168 Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.

Section # on Current EXPIRED LCDS (10/26)	Type of Change	Rationale for Change
SECTION O: SPECIAL TREATMENTS, PROCEDURES, AND PROGRAMS – DISCHARGE	Remove O0350. Patient’s COVID-19 vaccination is up to date.	Necessary to implement changes proposed in the FY 2026 IPPS/LTCH PPS proposed rule (available at https://www.federalregister.gov/d/2025-06271f )

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