Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Transportation item has been derived from the national PRAPARE® social drivers of health assessment tool (2016), which was
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
4 matrix group(s) are already attached for review on this item.
4 governed answer row(s) are attached for this item.
Transportation item has been derived from the national PRAPARE® social drivers of health assessment tool (2016), which was
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.
Transportation item has been derived from the national PRAPARE® social drivers of health assessment tool (2016), which was developed and is owned by the National Association of Community Health Centers (NACHC). This tool was developed in collaboration with the Association of Asian Pacific Community Health Organizations (AAPCHO) and the Oregon Primary Care Association (OPCA). For additional information, please visit www.prapare.org. Complete only if A0310B = 01 and A2300 minus A1900 is less than 366 days.
Access to transportation for ongoing health care and medication access needs, particularly for those with chronic diseases, is essential for successful care management. Understanding resident transportation needs can help organizations assess barriers to care and facilitate connections with available community resources.
Information regarding transportation barriers will help facilitate better care coordination and discharge planning.
1. Ask the resident, “In the past 12 months, has lack of reliable transportation kept you from
medical appointments, meetings, work or from getting things needed for daily living?”
2. Ask the resident to select the response that most closely corresponds to the resident’s
transportation status from the list in A1255.
3. If the resident declines to respond, code 7, Resident declines to respond, and do not code
based on other resources (family, significant other, or legally authorized representative or medical records).
4. If the resident is unable to respond, the assessor may ask a family member, significant other,
and/or guardian/legally authorized representative.
5. Only use medical record documentation to code A1255, Transportation if the resident is
unable to respond and no family member, significant other, and/or guardian/legally authorized representative provides a response for this item.
Code 0, Yes: if the resident indicates that in the past 12 months, a lack of reliable
transportation kept them from medical appointments, meetings, work or from getting things needed for daily living.
Code 1, No: if the resident indicates that in the past 12 months, a lack of reliable
transportation has not kept them from medical appointments, meetings, work, or from getting things needed for daily living.
Code 7, Resident declines to respond: if the resident declines to respond.
— When the resident declines to respond, do not code based on other resources (family, significant other, or legally authorized representative or medical records).
Code 8, Resident unable to respond: if the resident is unable to respond and no
other resources (family, significant other, or legally authorized representative or medical records) provided the necessary information.
A dash (–) value is a valid response for this item; however, CMS expects dash use to be a rare occurrence. If the resident is unable to respond and the response is determined via family, significant other, or legally authorized representative input or medical records, select the response that applies. This item is only collected for residents whose episode of care is less than 366 days (i.e., A2300 minus A1900 is less than 366 days).
1. Resident E is admitted with Multiple Sclerosis. They are confused and unable to understand
when asked if they have had a lack of transportation that has kept them from medical appointments, meetings, work, or from getting things needed for daily living. No family, significant other, or legally authorized representative with information about transportation is available, but their medical record indicates that in the past 12 months, their spouse used their car to transport Resident E wherever they needed to go.
Coding: A1255, Transportation would be coded as 1, No.
Rationale: Neither Resident E nor their family, significant other, or legally authorized
representative was able to provide a response, but the medical record documentation provided the necessary information regarding transportation.
2. Resident B indicates that in the last 12 months, they have not had reliable transportation,
which has occasionally kept them from attending medical appointments.
Coding: A1255, Transportation would be coded as 0, Yes.
Rationale: Resident B reported they have not had access to reliable transportation in
the last 12 months, which has kept them from medical appointments, meetings, work or from getting things needed for daily living.