State Operations Manual (Pub. 100-07), Ch. 4 § 4145.3
RAI by CMS
4145.3 - RAI by CMS
(Rev. 1, 05-21-04)
The CMS is responsible for designating the MDS, its common definitions and utilization
guidelines, and for designating one or more RAI(s). The CMS’ RAI is specified in
Appendix R and is comprised of the utilization guidelines (including the RAPs), the MDS
of core elements and common definitions, and the quarterly review items. The utilization
guidelines for completion of the RAI are specified in Appendix R, Part I; the core
elements of the MDS, common definitions, and quarterly review items are specified in
Part II; and the utilization guidelines pertaining to the RAPs, triggers and instructions are
specified in Part III.