MDS Version 1.19.11 Effective October 1, 2024

The Centers for Medicare and Medicaid Services (CMS) will revise the MDS assessment tool
for data collection effective October 1, 2024.

The revised Resident Assessment Instrument
Manual has been posted to the CMS website and includes the revised data collection tool.
These are currently a DRAFT. The DRAFT Minimum Data Set Resident Assessment
Instrument Manual version 1.19.11 can be reviewed at Minimum Data Set 3.0 Resident
Assessment Instrument User’s Manual v1.19.1 (

The changes in the draft RAI Manual include:

  • Guidance to support the addition of the following new items:
          - N0415K: Anticonvulsant
          - O0350: Resident's COVID-19 vaccination is up to date.

  • The removal of Discharge Goals in items GG0130: Self-Care and GG0170: Mobility.
  • Additional clarifications were added to Chapter 5, Submission and Correction of the
    MDS Assessments, regarding situations where an erroneous PPS assessment is
    combined with an OBRA-required assessment (e.g., for a Medicare Advantage stay). In
    this situation, a Manual Deletion Request is required, followed by the completion and
    submission of a new stand-alone OBRA MDS assessment.

Specifics regarding all of the changes can be found in the included chapter/section change
tables at the end of the draft Manual.