Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Item Rationale
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.
3 governed answer row(s) are attached for this item.
Item Rationale
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.
Allows the identification of the facility submitting the assessment.
Enter the facility provider numbers:
A. National Provider Identifier (NPI).
B. CMS Certification Number (CCN) – If A0410 = 3
(federal required submission), then A0100B (facility CCN) must not be blank.
C. State Provider Number (optional). This number is
assigned by the State survey agency and provided to the intermediary. When known, enter the State Provider Number in A0100C. Completion of this is not required; however, your State may require the completion of this item.