CMS Posts Updates to the Final MDS 3.0 RAI User’s Manual version 1.20.1 & MDS Item Sets

MDS; CMS
 

The posted final Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.20.1 and MDS item sets v1.20.1v4 have been updated to align with the revisions to item J1900 related to the coding of falls. The MDS 3.0 RAI User’s Manual v1.20.1 and items sets will be effective beginning October 1, 2025. 

Minor corrections have also been implemented. All changes to the posted version of the final MDS 3.0 RAI User’s Manual v1.20.1 are identified in included chapter/section change tables and, in the list, below: 

  • Pg. 3-4: Updated reference to removed sub-items of item O0400. 

  • Pg. J-37: Updated screenshot for item J1900. 

  • Pg. X-9: Updated reference to removed sub-item of item O0400. 

The revised MDS item sets include updates to the language in item J1900, which have been made in response to provider concerns; these are the only changes from the previous version.  

Please replace any previously downloaded versions of the Final MDS 3.0 RAI User’s Manual v1.20.1 and MDS item sets with the updated versions posted by CMS.  

Details regarding the changes to the fall coding definitions are also outlined in the resource Updates to the RAI Manual Fall Definitions & Coding Instructions Effective October 1, 2025. Questions may be directed to regulatory@ahca.org.