This page contains information for nursing home providers and other parties interested in the Minimum Data Set (MDS). This site will contain information related to MDS educational opportunities, links to federal websites, manuals, resources available and other items of significant interest. Please check back frequently for new information.
Visit MDS Training for information on upcoming training dates. You can also check MDS Resources for more information.
The MDS is a powerful tool nursing homes (NHs) and non-critical access hospital swing beds (SBs) facilities use for standardized residents/patients assessments and for facilitating their care management. It is a core set of screening, clinical, and functional status elements which form the foundation of a comprehensive assessment for all residents of nursing homes and patients of swing bed facilities certified to participate in Medicare or Medicaid. The MDS standardize communication about residents/patients within facilities, between facilities, and between facilities and outside agencies.
The MDS primary purpose is as an assessment tool used to identify residents/patients care problems which should be addressed in an individualized care plan. In addition, data collected from MDS assessments is used for Medicare reimbursement and for monitoring the quality of care provided to LTC residents and swing bed facilities patients. Its content has implications for residents, families, providers, researchers, and policy makers. (Adapted from CMS [Centers for Medicare and Medicaid Services] website and CMS Resident Assessment Instrument (RAI) Manual, page 1-5).
Who Needs a MDS?
OBRA (Omnibus Budget Reconciliation Act of 1987) regulations require Medicare and/or Medicaid certified nursing homes to conduct initial and periodic assessments for all their residents. The requirements are applicable regardless of age, diagnosis, length of stay payment source or payer source.
MDS assessments are also required for Medicare payment (Prospective Payment System [PPS]) purposes under Medicare Part A. MDS requirements are not applicable to individuals residing in non-certified units of long-term care facilities or licensed-only facilities.
Your facility should have a MDS data backup plan:
Facilities are responsible for ensuring their local MDS data is backed up. A number of unexpected problems can occur with electronic data, for example, a hard drive may fail or files can be overwritten or deleted. A natural disaster such as fire, flood or tornado may damage software/hardware. Backing up the MDS data will ensure the MDS assessments are safe and retrievable.
State of Alabama Related MDS Information
1. HIV/STD: Alabama does not allow collection of HIV/STD information. The following ICD codes will be blocked if submitted on a MDS:
Code 042.00 Human Immunodeficiency Virus (HIV) disease
Code 054.10 Genital Herpes
Code 079.53 Human Immunodeficiency Virus, type 2 (HIV-2)
Code 090.00 Congenital Syphilis
Code 098.00 Gonococcal Infection
Code 099.00 Other Venereal Disease (VD)
Code 099.50 Other Chlamydia Trachomatis VD
Code 099.80 Other Specified VD
Code 099.90 Venereal Disease, Unspecified
Code 795.71 Nonspecific Serologic evidence of HIV
Code V08 Asymptomatic Human Immunodeficiency Virus (HIV) infection status
2. Alabama is a flat rate per diem state for Medicaid reimbursement.
3. Section S: Alabama does not have a Section S requirement.
4. Section Q: Residents facilities have determined are feasible to return to the community and have requested information:
- Contact (ADRS) Karen Coffey at (334) 293-7040 or Steve Autrey at 293-7011
- Facilities should email the referral to the Alabama Department of Rehabilitation Services. Include:
1) Resident Name
2) Resident Phone Number
3) Resident Medicaid Number
4) Name of Nursing Facility
5) Nursing Facility contact person name and phone number
6) Complete AMA Form 431 (Nursing Home Discharge Planning
7) Email form to Alabama Dept. of Rehabilitation Services
LCA referral Email: firstname.lastname@example.org or Fax: (334) 293-7377
If you have additional questions, call the Alabama State RAI Coordinator at (334) 206-5988
Page last updated: March 13, 2018