RAI/MDS 3.0 Information

RAI/MDS Educational Forum

DQA sponsors a quarterly educational forum to assist in keeping nursing homes with evolving RAI/MDS information and to provide an avenue for nursing home staff to ask RAI/MDS-related questions. The RAI/MDS Educational Forum will be hosted jointly by DQA’s RAI/MDS Education and Automation Coordinators.

Next RAI/MDS Educational Forum: Not yet scheduled.

To attend the RAI/MDS Educational Forum:

• The forum utilizes an ‘internet meeting format’ via your computer for sharing information online. It is highly recommended that you test your computer for connection compatibility prior to the day of the forum by going to: https://connect.wisconsin.gov/common/help/en/support/meeting_test.htm. The test will immediately start after accessing the test page and you may be prompted to install Flash Player.
• On the day of the forum, connect online to the free ‘virtual meeting room’ approximately 10 minutes prior to the start of the training at: https://connect.wisconsin.gov/dhsdqa-mdsforum/. You will not hear any sound until the forum is started.
• Enter the online meeting room as a ‘Guest,’ signing in with the name of your nursing home.
• If you are having difficulty hearing the presenters through your computer speakers you should run the Audio Setup Wizard which is located under Meeting on the top left-side of the menu bar in the online meeting room. Make sure your computer speakers are not on mute.

Recordings and Agendas of Previous Forums:

• September 24, 2019 recording – Agenda (PDF)
• June 19, 2019 recording – Agenda (PDF)
• March 13, 2019 recording – Agenda (PDF)
• December 5, 2018 recording – Agenda (PDF)
• August 30, 2018 recording - Agenda (PDF)
• May 3, 2018 recording – Agenda (PDF)
• August 23, 2017 recording – Agenda (PDF)
• May 17, 2017 recording – Agenda (PDF)
• February 2, 2017 recording – Agenda (PDF)
• October 31, 2016 recording – Agenda (PDF)
• July 28, 2016 recording – Agenda (PDF)
• April 20, 2016 recording

Section GG Training

Video Tutorials Available to Assist with Coding Specific Section GG Items

The CMS is releasing a series of short videos to assist providers with coding select Section GG items on the OASIS, IRF-PAI, LTCH CARE data set, and the MDS. These videos, ranging from 4-12 minutes, are designed to provide targeted guidance using simulated patient scenarios. To access the videos, select the links below:

• Coding GG0110. Prior Device Use with Information From Multiple Sources (3:58)
• Decision Tree for Coding Section GG0130. Self-Care and GG0170. Mobility (11:56)
• Coding GG0130B. Oral Hygiene (4:25)
• Coding GG0170C. Lying to Sitting on side of bed (4:33)

MDS Section GG was implemented October 1, 2016. CMS developed the following YouTube four part Section GG training:

• Section GG Part 1
• Section GG Part 2
• Section GG Part 3
• Section GG Part 4

CMS Training

CMS developed MDS 3.0 Provider Training videos for Sections I, G, M and O. These YouTube videos and additional MDS 3.0 training videos can be accessed on the CMS MDS 3.0 Training webpage.

VIVE - Video on Interviewing Vulnerable Elders was funded by the Picker Institute and produced by the UCLA/JH Borun Center is also available under Related Links on the CMS MDS 3.0 Training webpage.

SNF Quality Reporting Program training materials.

Only OBRA and Medicare PPS Assessments Allowed to be Submitted

On the January, 2011, SNF Open Door Forum conference call, CMS explained only MDS 3.0 assessments that are OBRA assessments or Medicare Part A PPS assessments should be submitted to the QIES ASAP MDS System. Assessments completed for Medicare Advantage Plans or for other insurance purposes should not be submitted. Additional information related to Transmitting MDS Data is identified in Chapter 5 of the RAI Manual.

Note: OBRA assessments are required to be completed and submitted for all residents regardless of payer source.

Change in MDS Correction Policy

CMS made changes to the MDS Correction Policy effective May 19, 2013. Changes include the ability to submit a modification to correct typographical and data entry errors for A0310: Type of Assessment (if there is no Item Set Code change) and A2300: Assessment Reference Date (if results do not change look back period). Refer to Chapter 5 of the most recent version of the RAI Manual for additional information. The RAI Manual can be downloaded from CMS MDS 3.0 RAI Manual website.

CMS PowerPoint slides identifying changes to MDS 3.0 Manual Modification/Inactivation policy, effective May 19, 2013.

Submission Information and User's Guide

The MDS 3.0 Provider User's Guide is available on the QTSO Nursing Home/Swing Bed Providers – Reference and Manuals webpage. This guide provides detailed information for the submission of MDS 3.0 records by nursing home and swing bed providers. The Error Messages are located in Chapter 5 of the MDS Provider User's Guide. There is also an Appendix A-Quick Reference.

The QTSO website also includes the ability to download jRAVEN software and there is a webpage for MDS Software Vendor Information

User IDs/Passwords Required

Requesting access to CMS systems requires two steps to obtain two separate login IDs. A CMSNet User ID and a QIES Submission/MDS Individual login ID.

Step 1:

Use the CMSNet Online Registration application to request a CMSNet User ID.
The CMSNet ID is needed to access secure CMS sites (e.g., submissions pages/reports) unless an otherwise secure connection has been established.

CMSNet Online Registration Instructions

Step 2:

Use the QIES online User Registration tool to obtain a QIES Submission ID. Once you have registered for a CMSNet User ID, you will receive an email from MDCN.mco@palmettogba.com containing your login information. Using this information you will connect through the 'CMS Secure Access Service'.

Once securely connected, select the 'CMS QIES Systems for Providers' link to access the QIES online 'User Registration' tool. New users must utilize the online 'User Registration' tool to obtain a QIES Submission/MDS Individual login ID (the only exception is Corporate/Third-Party accounts).

Additional information is available on the QTSO MDS Access Information webpage.

QIES Submission/MDS Individual ID Requirements

A user selects their own QIES login password when they register for their individually assigned login account. The password must meet stringent password rules that are available to view on the password webpage. Passwords are set to expire in 60 days. Users must enter a new password when they are prompted to change their password or they may use the QIES User Maintenance application that is available on the MDS Welcome Page to change their password at any time prior to the 60 day expiration date.

Forgot MDS Individual Login Password and Inactivated Accounts

If the incorrect individual login password is entered too many times, the account will be made inactive. If the user does not log into CASPER reports within 90 days, their account will also be made inactive. Inactive accounts will not be able to submit MDS assessments.

One indication of an inactive account or an expired password: after attempting to login the following message appears, "Authorization Required", indicating the server can't verify the appropriate access credentials.

To reactivate a MDS personal account, follow these steps:

1. On the CMS MDS Welcome page select the QIES User Maintenance link.
2. Select "Forgot your password or Inactive Account?".
3. Enter your Personal Login ID and answer the three security questions and follow the directions provided.

Providing answers to the security questions were part of the process for registering for an individual MDS account. Users will have three attempts to correctly answer the security questions, after that, they are locked out and must contact the QIES Help Desk to reset their account, 800-339-9313.

To avoid getting locked out be sure to log into CASPER or the QIES User Maintenance application at least once every 90 days.

• The MDS 3.0 Quality Measure User's Manual is available under the Downloads area of the CMS Quality Measures website.
• Section 11 of the CASPER Reporting Users Manual provides provides information for how to generate the MDS 3.0 QM reports. This manual is available on the CMS QTSO Nursing Home Reference & Manuals website.
• CMS MDS 3.0 QM User's Manual – available under the Downloads area
• Medicare Nursing Home Compare
• CMS Five Star Rating System information
• CMS Nursing Home Quality Initiatives
• CMS SNF Quality Reporting Program (QRP) – including information on Review and Correct Reports
• National Nursing Home Quality Improvement Campaign
• Metastar - Wisconsin's Quality Improvement Organization
• CMS Nursing Home Quality Assurance & Performance Improvement (QAPI)

Medicare Payment Information

• CMS SNF PPS
• Patient Driven Payment Model
• Medicare Benefit Policy Manual
• Medicare Claims Processing Manual
• National Government Services - Medicare claims
• Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program

Medicaid Payment Information

• MDS 3.0 Section Z items Z0200 and Z0250 are not required to be coded and may be left blank.
• Wisconsin Medicaid uses the MDS 3.0/RUGS IV-48 classification system for Medicaid residents.
• Additional Wisconsin Medicaid Payment information:
  • RUG IV - 48 Grouper Decision Tree (PDF)
  • Medicaid Nursing Home Reimbursement webpage
  • CMIs are also identified in the RUGIV_Grouperspecs spreadsheet (Excel)
• Forward Health Update 2017-31 Nursing Home Level of Care Process Change and New Level of Care Report (PDF)
• ForwardHealth Update 2017-04 New Policy Regarding Developmentally Disabled Level of Care Assignments (PDF)