Document library
Note: These documents are in PDF format unless otherwise indicated.
Contact the state MDS Automation Coordinator with corrections to posted documents or suggestions for new documents.
MDS 3.0 Documents
- MDS 3.0 PPS Assessment Calculator 1.0 — The PPS Assessment Calculator is an interactive Microsoft Excel spreadsheet that calculates when MDS 3.0 Medicare PPS assessments are due. It is intended for nursing homes and swing bed providers.
- MDS 3.0 OBRA Assessment Scheduling Form (Adobe PDF | MS Word) — An optional form that providers can use to track past, pending, and upcoming OBRA-required MDS for a resident. [Updated 9/15/2011]
- MDS 3.0 Look-Back Periods — This is a reference table of look-back periods for all MDS 3.0 items.
- Privacy Act Statement (English | Spanish) — This document is an isolated copy of the Privacy Act Statement found in the MDS 3.0 RAI Manual (May 2011). "Providers may request to have the Resident or his or her Representative sign a copy of this notice as a means to document that notice was provided. Signature is NOT required. If the Resident or his or her Representative agrees to sign the form it merely acknowledges that they have been advised of the foregoing information. Residents or their Representative must be supplied with a copy of the notice. This notice may be included in the admission packet for all new nursing home admissions." (RAI Manual pg 1-15).
- Resource Utilization Group (RUG) III Version 5.2 Worksheet (34 Group Model) —This RUG-III Version 5.2 calculation worksheet has been updated for the 34 Group Model currently used in Texas for nursing facility residents whose MDS 2.0 and MDS 3.0 indicates their stay is funded by Medicaid. This worksheet is a step-by-step walk through to manually determine the appropriate RUG-III classification based on the information from MDS 2.0 items. The conversion from MDS 3.0 to MDS 2.0 can be found on the CMS MDS 3.0 Technical Information website in the "RUG III Files" download.
- CASPER Folder Quick Tips — This QTSO memo describes the CASPER reports folders that are available to MDS providers.
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MDS 2.0 Documents
Contact the state MDS Automation Coordinator for a copy of the MDS 2.0 Sub_Req Correction Request and Instructions.
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Updated:
May 3, 2012