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CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
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CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
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Use this item when the facility is completing content tied to Section O and needs to stay anchored to v1.20.1.
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The intent of this item is to report if a person is up to date with their COVID-19 vaccine status. Age is the strongest risk factor for severe coronavirus disease 2019 (COVID-19) outcomes. In 2020, persons aged 65 years or older accounted for 81 percent of U.S. COVID-19-related deaths. Severe illness caused by COVID-19 means that the person with COVID-19 may require hospitalization, intensive care, or ventilator support for breathing, or may even die.
A strong infection prevention and control program is vital to protect both residents and healthcare personnel. Remaining up to date with all recommended COVID-19 vaccine doses is critical to protect both staff and residents from Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection. COVID-19 vaccines currently approved or authorized by the U.S. Food & Drug Administration are effective in reducing the risk of serious outcomes of COVID-19, including severe disease, hospitalization, and death. Efforts to increase the number of people in the United States who are up to date with their COVID-19 vaccines remain an important strategy for preventing illnesses, hospitalizations, and deaths from COVID-19. A vaccine, like any other medicine, could possibly cause serious problems, such as severe allergic reactions. Serious problems from the COVID-19 vaccine are very rare. More information about potential side effects of the COVID-19 vaccine, precautions, and contraindications can be found on the CDC webpage “Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States” at https://www.cdc.gov/vaccines/covid- 19/clinical-considerations/interim-considerations-us.html#contraindications.
1. Vaccination status may be determined based on information from any available source.
Review the resident’s medical record or documentation of COVID-19 vaccination and/or interview the resident, family or other caregivers or healthcare providers to determine whether the resident is up to date with their COVID-19 vaccine.
2. If the resident is not up to date, and the facility has the vaccine available, ask the resident if
they would like to receive the COVID-19 vaccine.
Code 0, No, resident is not up to date if the resident
does not meet the CDC’s definition of up to date. — This includes residents who have not received one or more recommended COVID-19 vaccine doses for any reason including medical, religious, or other qualified exemptions. — This includes residents for whom vaccination status cannot be determined.
Code 1, Yes, resident is up to date if the resident meets
the CDC’s definition of up to date. A dash is a valid response, indicating the item was not assessed. CMS expects dash use to be a rare occurrence. Coding Tip Current COVID-19 vaccine recommendations are available on the Centers for Disease Control and Prevention’s (CDC’s) webpage “Staying Up to Date with COVID-19 Vaccines” at https://www.cdc.gov/covid/vaccines/stay-up-to-date.html.
UP TO DATE for COVID- 19 Vaccine For the definition of “up to date,” providers should refer to the CDC webpage “Staying Up to Date with COVID-19 Vaccines” at https://www.cdc.gov/covid/va ccines/stay-up-to-date.html.