The California Department of Health has issued an All Facilities Letter (AFL) notifying Medicare and/or Medicaid certified nursing facilities about the revised Resident Assessment Instrument (RAI) 3.0 user's manual, including the new Minimum Data Set (MDS) 3.0 item sets that took effect on October 1, 2018. The Centers for Medicare and Medicaid Services (CMS) publishes the RAI 3.0 User's Manual v1.16 as a public document to facilitate accurate and effective resident assessment practices in long-term care facilities. The 3.0 manual v1.16 is available for print/download at the CMS website. The 2018 MDS items sets (v1.16.1) are available on the CMS MDS 3.0 Technical Information webpage. Nursing facilities, skilled nursing facilities, intermediate care facilities, and swing bed hospitals must ensure their MDS coordinators, directors of nursing, and facility administrators are aware of these updates and implement them accordingly.

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