Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Resident at Discharge (cont.)
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
5 matrix group(s) are already attached for review on this item.
2 governed answer row(s) are attached for this item.
Resident at Discharge (cont.)
Use this item when the facility is completing content tied to Section A and needs to stay anchored to v1.20.1.
This page is grounded in CMS MDS 3.0 RAI Manual v1.20.1. Review the exact text and locators before treating the item as final reference content.
Resident at Discharge (cont.) Coding Tips Resident, family, significant other, guardian/legally authorized representative and/or caregiver—The recipient of the current reconciled medication list can be the resident, family member, significant other, guardian/legally authorized representative, and/or caregiver in order to code 1, Yes, a current reconciled medication list was transferred. It is not necessary to provide the current reconciled medication list to all of these recipients in order to code 1, Yes.
1. Resident D does not take any prescribed or over-the-counter medications at the time of
discharge.
Coding: If it is clearly documented that the resident is taking no medications and this is
then clearly communicated to the resident, family member, significant other, and/or caregiver when the resident is discharged, A2123 would be coded 1, Yes, that the medication list was transferred. If this information is not communicated to the resident, family member, significant other, guardian/legally authorized representative, and/or caregiver, code 0, No.
Rationale: Information confirming that the resident is not taking any medications at
discharge is important for the resident, family member, significant other, guardian/legally authorized representative, and/or caregiver.
2. Resident F is cognitively impaired and unable to manage their medications after discharge.
Their medication list is provided to their sibling, who will be their primary caregiver.
Coding: A2123 would be coded 1, Yes.
Rationale: The medication list must be provided to the resident, family member,
significant other, guardian/legally authorized representative, and/or a caregiver in order to
code 1, Yes. In this example, Resident F’s sibling is a family member and a caregiver, so
code 1, Yes.
3. Resident P chooses to leave the facility before their treatment is completed. They tell the
charge nurse on their way out the door that their ride is waiting for them and they are going home. The charge nurse explains that they have not completed their course of treatment and are not ready to be discharged, but they insist that they are leaving now and proceed out of the facility.
Coding: A2123 would be coded 0, No.
Rationale: No medication list review was completed, and no medication list was
provided to Resident P as they left against medical advice and did not want to keep their ride waiting.