UPDATED: Final MDS 3.0 Item Sets v1.20.1v3 Released

 

CMS has released the final Minimum Data Set (MDS) 3.0 Item Sets version 1.20.1v3 and the Item Matrix v1.20.1v3, which are now available in the Downloads section on the MDS 3.0 Resident Assessment Instrument (RAI) Manual page. These final updates will go into effect on October 1, 2025.

 

Why This Matters

The MDS drives not only resident care planning but also reimbursement, compliance, and quality reporting in skilled nursing facilities. Each update from CMS carries implications for providers, therapy partners, and facility teams who rely on accurate data collection and assessment.

With the final version now posted, providers should begin:

  • Reviewing the changes in detail, especially updates to Section GG and other areas impacting clinical workflows.
  • Educating interdisciplinary teams to ensure accurate documentation and coding.
  • Collaborating with therapy partners to align on how these updates affect care delivery, compliance, and outcomes reporting.

 

Key Changes

 

HTS Support

At HTS, we closely monitor MDS updates and provide guidance to ensure our partners remain compliant and prepared. Our team will share additional resources and training with our therapists, so they are equipped to navigate the October 2025 transition with confidence.

Visit CMS’ MDS 3.0 RAI Manual page to access the final item sets and matrix.

 


Written by:

Sheena Mattingly, M.S., CCC-SLP, RAC-CT  |  Executive Vice President of Quality & Compliance, HTS