Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
The items in this section indicate the possible reasons for the inactivation request. Check all that
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
2 matrix group(s) are already attached for review on this item.
No governed answer rows are attached yet. Add sub-items to populate the answer-codes view.
The items in this section indicate the possible reasons for the inactivation request. Check all that
Use this item when the facility is completing content tied to Section X 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.
The items in this section indicate the possible reasons for the inactivation request. Check all that apply. These items should only be completed when A0050 = 3, indicating an inactivation request. If A0050 = 2, indicating a modification request, these items should be skipped. Coding Instructions for X1050A, Event Did Not Occur Check the box if the record accepted into iQIES does not represent an event that actually occurred. An example would be a Discharge assessment submitted for a resident, but there was no actual discharge. There was no event. Coding Instructions for X1050Z, Other Reason Requiring Inactivation Check the box if any errors in the record accepted into iQIES were caused by other types of errors not included in Item X1050A. Facility staff should describe the “other error” in the space provided with the item.