Texas Minimum Data Set (MDS)
The MDS is a standardized collection of demographic and clinical information that describes a person's overall condition. All licensed nursing facilities in Texas are required to submit MDS assessments for all residents admitted into their facility.
News & Alerts
MDS RAI Manual v1.15 Errata 12/20/2017
CMS has posted an errata document to the current MDS Resident Assessment Instrument (RAI) Manual v1.15 that contains revisions to correct spelling errors, update a list of resources and their use and clarify the coding for items I2300, N0410, N0450, P0100 and P0200. The PDF document is titled MDS 3.0 RAI Manual v1.15R Errata and is available in the Downloads section of the CMS MDS 3.0 RAI Manual website. Pages that are changed are marked with the footer "October 2017 (R)".
CMS Presentation on 2017 MDS RAI Updates 11/17/2017
CMS has posted a PDF version of their 2017 RAI User's Manual Provider Updates (PDF) PowerPoint presentation to the CMS MDS 3.0 RAI Manual website. This presentation highlights the major changes to the 2017 Resident Assessment Instrument User's Manual.
Draft MDS Item Sets v1.16.0 Now Available 11/17/2017
CMS has posted a draft of MDS Item Sets v1.16.0 to the CMS MDS 3.0 Technical Information website. This version is scheduled to become effective Oct. 1, 2018 and should be considered draft until a final version is released.
CMS FY 2018 System Requirements Document 11/17/2017
CMS has updated the Minimum and Recommended Computer Client Requirements for Existing or New Equipment (PDF) used by providers accessing CMS systems, effective for federal fiscal year 2018 (Oct. 1, 2017 to Sep. 30, 2018). This document is available on the QIES Technical Support Office website home page.
MDS RAI Manual v1.15 is Now Available 09/20/2017
CMS has posted v1.15 of the MDS Resident Assessment Instrument (RAI) Manual to their MDS 3.0 RAI Manual website. This version of the manual becomes effective Oct. 1, 2017. Among other changes, CMS has elected to make item O0700, Physician Orders, dependent on state requirements. Texas has made completion of this item mandatory for those assessments in which it is active.
jRAVEN v1.5.0 is Now Available 09/20/2017
jRAVEN v1.5.0 has been posted to the QTSO jRAVEN website. jRAVEN is a free Java based software application from CMS which provides an option for facilities to collect and maintain MDS Assessment data. This latest version includes support for the upcoming release of MDS 3.0 for Oct. 1, 2017. Please see the website for installation guides, user guides and information. If you have any questions about jRAVEN installation or technical support, please contact the QIES Technical Support Office (QTSO) at 800-339-9313 or email@example.com.
Emergency MDS Protocol Available Online 08/24/2017
A document has been posted to the MDS Document Library that contains steps that should be taken, as they relate to MDS, in preparation for the possibility of evacuations in emergency weather events. Preparation for MDSC in Emergency Status (PDF)
Security Notice on CMS QIES Accounts 06/06/2017
Effective June 26, 2017, CMS QIES accounts (which includes the MDS Submissions and CASPER applications) will require users to successfully login every 60 days or the account will be disabled and can only be re-enabled by contacting the QTSO Help Desk at (888) 477-7876. QIES users will continue to use the QIES User Maintenance Application (QUMA) to update passwords as required every 60 days and use security questions to unlock accounts if the password is forgotten or the account is locked due to the password being entered incorrectly three times. If you have any questions concerning this information, please contact the QTSO Help Desk at firstname.lastname@example.org or (888) 477-7876. Additional information is also available on the QTSO Nursing Home Provider website.
MDS 3.0 QM User Manual Errata V11.0 06/06/2017
CMS has released an errata document for the MDS 3.0 Quality Measures Users Manual V11.0 to address an error in the manual with measure N015.01, Percent of High-Risk Residents with Pressure Ulcers (Long Stay). This document is available on the CMS Quality Measures website.
MDS 3.0 QM User's Manual V11.0 Now Available 04/28/2017
CMS has posted V11.0 of the MDS 3.0 Quality Measures User's Manual, effective April 1, 2017, to the CMS Quality Measures website. The prior V10.0 manual has been moved to the CMS Quality Measures Archive website.
Provider (PL) and Information (IL) Letters
All Providers are Required to Redo Nurse Aide Registry (NAR) Searches Conducted from June 14, 2017, through August 3, 2017
All Providers are Required to Redo Employee Misconduct Registry (EMR) Searches Conducted from June 9, 2017, through July 27, 2017
Provider Requirements for MDS 3.0 (replaces PL #10-19)
Preadmission Screening and Resident Review Minimum Data Set Long Term Care Medicaid Information Rejections
Nursing Facility Assessments and Minimum Data Set Assessment Data Accuracy
MDS 3.0 Section Q: Referral to the Community: NF Responsibilities and Local Contact Agency Information (replaces IL #11-57 and PL #11-20)
Pre-Admission Screening and Resident Review (PASRR) Process Changing
New Nursing Facilities and MDS Coordinators
Training is an ongoing process. It is beneficial to review all training resources and MDS documents periodically to ensure that you did not forget or misunderstand anything. Texas does not require nursing facility staff to be MDS certified in order to enter or submit Minimum Data Set (MDS) data. However, registered nurse (RN) assessment coordinators who sign that the MDS is complete for residents with Medicaid reimbursement are required to take RUG training. This course is offered online through the Texas State University Continuing Education RUG Training website.
The primary tool for MDS is the Resident Assessment Instrument (RAI) User's Manual. The Centers for Medicare and Medicaid Services (CMS) also offers online MDS training on topics that include the MDS schedule; item-by-item guidance for completing assessments; and resident assessment protocols, corrections and the prospective payment program for Medicare skilled nursing facilities. Reference the MDS 3.0 RAI Manual on the CMS website.
One of the best, frequently-updated sources for MDS training is The MDS Mentor, written by Shelly Nanney, RN, RAC-CT, Texas MDS RAI Coordinator, and Brian Johnson, Texas MDS Automation Coordinator
Nursing facility and swing bed facility MDS personnel enter MDS information into MDS data entry software. Facilities may purchase third party MDS software or use the free MDS software provided by CMS. CMS offers free java Resident and Validation Entry (jRAVEN) software on the Quality Improvement and Evaluation System (QIES) Technical Support Office (QTSO) website at www.QTSO.com. Technical assistance for jRAVEN is available by calling the QTSO Help Desk at 1-800-339-9313.
Nursing facilities are responsible for ensuring that their MDS data is backed up. Unexpected problems can occur that could cause the loss of electronic MDS data. The most frequent issue is hard drive failure. A natural disaster such as fire, flood or tornado may damage software or hardware. Human error can also cause data to be deleted or overwritten. Backing up the MDS data will ensure that MDS assessments are retrievable and not lost.