State Operations Manual (Pub. 100-07), Ch. 4 § 4145.5
Variations in Formatting the State-Specified RAI
4145.5 - Variations in Formatting the State-Specified RAI
(Rev. 1, 05-21-04)
The CMS’ approval of a State-specified RAI covers those items included on the
instrument, the working and sequence of those items, and all definitions and instructions
for the RAI. Approval of the State-specified instrument does not address the attributes of
the instrument related to formatting (for example, print type, color coding, or changes,
such as integrating triggers into the instrument). States are encouraged to permit some
flexibility in form design (e.g., print type, color, shading, or integrated triggers) or
through use of a computer-generated printout of the RAI. The CMS’ approval is not
required for a State to permit such formatting variations. However, a State must assure
that any RAI form or printout in the resident’s record accurately and completely
represents the State-specified RAI as approved by CMS, in accordance with 42 CFR
483.20(b). In other words, it includes all and only the items on the State-specified
instrument with the exact wording and in the same sequence.