CMS Officials Update Nursing Homes on MDS State Assessment Processes, Changes to Social Determinant Items

The Centers for Medicare & Medicaid Services (CMS) will no longer process optional state assessments (OSAs) after Oct. 1, 2025 for providers in states that are still transitioning to the Patient Driven Payment Model (PDPM). Moving ahead, CMS will not be involved in whether a state will continue to require the completion and submission of […]

As CMS Issues Draft Minimum Data Set for Nursing Homes Early, Experts Note Some ‘Helpful’ Sections

The Centers for Medicare & Medicaid Services (CMS) released a draft Minimum Data Set (MDS) on Tuesday, and while the changes are minimal, clinical and reimbursement experts noted that they could lead to reduced control over certain quality reporting measures. However, the earlier-than-anticipated release also suggests that the federal agency aims to give operators a […]

Administrative Burdens, Lack of Standardization Noted as Hurdles at CMS’ Nursing Home Quality Program’s Listening Session

For its Quality Reporting Program, the Centers for Medicare & Medicaid Services (CMS) is exploring the possibility of expanding nursing home data collection and submission to all residents, regardless of payer type. Officials heard feedback on the challenges and benefits of such a move during a listening session held on Tuesday. If the federal agency […]

Quality Reporting Program Changes to Bring Nursing Homes ‘Into the Realm of Health Equity’

Skilled nursing facilities are set to see changes to the Quality Reporting Program (QRP), with the Centers for Medicare & Medicaid Services (CMS) making moves to address social determinants of health (SDOH) – mainly, adding factors such as living situation, food, utilities, and transportation. “These quality measures are leading us into the realm of health […]

CMS Clarifies MDS Mood Interview Changes in RAI Manual Updates

More guidance is available on how to conduct mood interview changes, with the Centers for Medicare & Medicaid Services (CMS) updating the Resident Assessment Instrument (RAI) manual to reflect key changes in the new Minimum Data Set (MDS). Notably, if a resident refuses or is unwilling to participate in the interview, assessors need to go […]

Why Additional VBP Funding for Nursing Homes May Be More Trouble Than Gain

Nursing home operators participating in a value-based purchasing program (VBP) might be able to derive greater benefits in coming years from higher scores based on new measures, as the federal government seeks to reward organizations who prioritize health equity, among other factors. Joel Van Eaton, EVP of post-acute care regulatory affairs and education at Broad […]

CMS Release of New MDS Materials Serves as Springboard for Staff Training

As promised, the Centers for Medicare & Medicaid Services (CMS) late Monday released virtual training on updated guidance for the Minimum Data Set (MDS). The agency initially announced plans for training sessions during an open door forum in March. Part one consists of pre-recorded training webinars to deliver foundational knowledge on changes coming Oct. 1. […]

CMS Releases Optional State Assessment for MDS Switch

The Centers for Medicare & Medicaid Services (CMS) on Monday dropped the eagerly anticipated optional state assessment (OSA) for nursing homes, as a supplement for operators to fill out in states still transitioning to the Patient Driven Payment Model (PDPM). If a state decides not to transition to a PDPM-based Medicaid case mix with the […]

CMS Weighs in on MDS Changes Affecting Five-Star, Puts Spotlight on Behavioral Health in Nursing Homes

The Centers for Medicare & Medicaid Services (CMS) on Thursday reviewed multiple updates with skilled nursing operators, with agency officials discussing Minimum Data Set changes and the Five-Star Rating System, along with a rundown of changes to its proposed rule. CMS is planning to re-specify some of the measures listed in Five-Star, as they’re tied […]

[Updated] CMS Releases New MDS RAI Manual Version with ‘Substantial Revisions’ 

The latest version of the MDS Resident Assessment Instrument (RAI) manual released early Monday contains “substantial revisions,” according to a statement issued by the Centers for Medicare & Medicaid Services (CMS). In keeping with the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), the new draft includes standardized assessment items that need to […]

CMS Releases Complete Draft Item Sets for New MDS Version

The march toward a new Minimum Data Set (MDS) protocol continues, with the Centers for Medicare & Medicaid Services (CMS) releasing the full complement of draft item sets. With this release on Dec. 23, CMS made good on a previous promise to get these complete draft item sets out in 2022. The agency plans to […]