LeadingAge Wisconsin's MDS meeting will be held in-person at St Paul Elder Services (316 E 14th St, Kaukauna) from 9 a.m. - 2 p.m. on Tuesday, November 11, 2025.

Meeting agenda:

I. CMS and Regulatory Updates

1. CMS: Contingency Plans – State Survey & Certification Activities in Federal Government Shutdown
2. Section O Overhaul: Changes to Therapy Coding
3. Manual updates

       i. CMS iQIES Reports User Manual v2.9

       ii. MDS 3.0 Quality Measures (QM) User’s Manual v17.0 Effective Jan. 1, 2025 and Associated User Manual Files

1. SNF QRPS

        i. FY 2026 SNF QRP FAQs

        ii. SNF QRP Measure Calculations and Reporting User’s Manual V7.0, Change Table, Risk Adjustment and Imputation Appendix Files, and HCC ICD-10 Crosswalks

        iii. FY 2028 (CY 2026 Data) SNF QRP Reporting Requirements and Data Submission Deadlines

II. OIG

1. OIG: Nursing Homes Failed To Report 43 Percent of Falls With Major Injury and Hospitalization Among Their Medicare-Enrolled Residents
2. Section I- Diagnosis coding and the OIG

         i. QSO-25-14-NH

III. AAPACN Updates and Articles

1. MDS/PDPM

        i. Back to PDPM Basics – Part 3: The Nursing Component – Extensive Services and Special Care

        ii. Top Four GG Strategies: Preparing for the October Updates

        iii. Crack the Code: Staff Assessment for Mental Status Items

        iv. MDS Item J2100 Feeds Into PDPM: Learn What’s at Stake and How to Boost Accuracy

        v. Should SNFs Collect Removed Section R MDS Data—and Why Do HRSN Even Matter?

IV. QAPI

1. Section GG

 V. Miscellaneous

1. Coming Oct. 19: AHRQ Toolkit Strengthens Infection Prevention in LTC Facilities
2. Focus on hospital readmissions

 VI. AAPACN FAQs

 VII.  Member Discussion

REMINDER: If you have not renewed or signed up for membership to the MDS Innovation Team for 2025 yet, please register your facility for the 2025 MDS team membership prior to the meeting. Registration is per facility, not per organization. Only LeadingAge Wisconsin members and subscribers can participate in MDS meetings. 

If you have any questions or topics for discussion for the MDS Innovation Team, please contact Taylor Raether, traether@leadingagewi.org.