CMS Posts “Errata” to MDS Manual

The CMS Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual webpage was updated recently to include two important announcements:

​1. Changes to Chapter 3, Section I, of the MDS 3.0 RAI Manual v1.17.1R. In July 2022. In July 2022, CMS revised pages that clarify the need for a detailed evaluation and appropriate diagnostic information to support a diagnosis, such as for a mental disorder, prior to coding the diagnosis on the MDS. It also clarifies the steps that may be necessary when a resident has potentially been misdiagnosed. An example of when a diagnosis should not be coded in Section I due to lack of a detailed evaluation and appropriate diagnostic information to support the diagnosis has also been added to this section.

The coding tips on page I-12, the manual now states:

​In situations where practitioners have potentially misdiagnosed residents with a condition for which there is a lack of appropriate diagnostic information in the medical record, such as for a mental disorder, the corresponding diagnosis in Section I should not be coded, and a referral by the facility and/or the survey team to the State Medical Boards or Boards of Nursing may be necessary. 

The revised manual pages are I-12 and I-16 and are marked with the footer “October 2019 (R).”

The errata document begins with a table that lists all identified revisions and the pages to which they have been applied. Following the table are the actual corrected replacement pages for insertion into the printed manual.

​​2. Changes to Appendix B of the MDS RAI Manual. CMS updated​ the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts for the states of California, Georgia, and Nebraska.