The California Department of Health issued an All Facilities Letter (AFL) stating that, effective October 1, 2020, all Medicare and/or Medicaid certified nursing facilities and swing bed hospitals must use the updated Minimum Data Set (MDS) 3.0 item sets v1.17.2. The MDS item sets are used by these facilities to collect and submit patient data to the Centers for Medicare and Medicaid Services (CMS), which informs payment, quality, and survey processes. Healthcare providers and MDS users should continue following the guidelines in the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual v1.17.1 until further notice. Although the updated MDS 3.0, v1.17.2 item sets will be implemented, data reporting will not change in California, as the state does not use MDS data for nursing facility rate determinations. For additional MDS questions, facilities can contact the MDS help desk or the ASPEN help desk.

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