Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Error message
MDS Lookup
Provision of Current Reconciled Medication List to
Subsequent Provider at Discharge (cont.)
Matrix review
5 matrix group(s) are already attached for review on this item.
Answer coverage
1 governed answer row(s) are attached for this item.
Answer Codes
Code 0
No
Rationale: Information confirming that the resident is not taking any medications at discharge is important for the subsequent provider. 3....
What this item is
Subsequent Provider at Discharge (cont.)
When to use it
Use this item when the facility is completing content tied to Section A and needs to stay anchored to v1.20.1.
Reminders
- Current source status: Published.
- Item locator: Manual page A-47
- CMS exact locator: Manual page A-47
- This item has 1 governed answer row(s) attached.
Source awareness
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.
Source & Review
Manual
CMS MDS 3.0 RAI Manual v1.20.1
Status
Published
Effective start
2025-10-01
Item locator
Manual page A-47
CMS exact locator
Manual page A-47
Full CMS Text
Subsequent Provider at Discharge (cont.) Examples
1. Resident B is being discharged from the SNF to an acute care hospital in the same health care
system that uses the same electronic health record (EHR), also sometimes referred to as an electronic medical record (EMR) (see Definitions: EHR/EMR and definition in the glossary). Resident B’s current reconciled medication list at the time of discharge from the SNF is accessible to the subsequent acute care hospital staff admitting Resident B, and this is how the medication list is shared.
Coding: A2121 would be coded 1, Yes.
Rationale: Having access to Resident B’s medication list through the same EHR
system is one way to transfer a medication list. This code of 1, Yes, is used for this passive means of transferring the medication list when the sending and receiving provider can access the same EHR system.
2. Resident D is not taking any prescribed or over-the-counter medications at the time of
discharge.
Coding: If the lack of any medications for a resident is clearly documented and
communicated to the subsequent provider when the resident is discharged, code 1, Yes, that the medication list was transferred. If this information is not communicated to the subsequent provider, code 0, No.
Rationale: Information confirming that the resident is not taking any medications at
discharge is important for the subsequent provider.
3. Resident F was transferred to an acute care hospital with a reconciled medication list that
included a list of their current medications, but with less additional information than is usually provided by the SNF at discharge because of the urgency of the situation. Some of the contraindications for the medications, as well as resident weight and height and dates taken, were omitted from the medication list.
Coding: A2121 would be coded 1, Yes.
Rationale: As long as a current reconciled list of medications is provided to the
admitting provider, this item should be coded 1, Yes.
4. Resident G’s reconciled medication list was electronically faxed to the subsequent provider,
and this action is documented in their clinical record. However, the subsequent provider’s records do not show documentation that the fax was successfully received.
Coding: A2121, would be coded 1, Yes.
Rationale: Documentation of the subsequent provider’s successful receipt of the
reconciled medication list is not a required component for this item.
Matrix Applicability
Nursing Home Subsets
NC - Comprehensive
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
NQ - Quarterly
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
ND - Discharge
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
NP - PPS 5 Day
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
Swing Bed Subsets
SP - PPS 5 Day
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
SD - Discharge
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
Program and Policy Use
QRP Quality Measures (Includes risk adjustment)
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
D/C Items (Only when A0310F = 10 or 11)
A0310G=1 PDC
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
A0310G=2 UPD
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
Item Subset Required Use ISC Skip Patterns
APU Item Discharge (A0310H = 1)
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4
QRP PPS DC (A0310H = 1)
Marker: x
applies
Locator: MDS Item Matrix v1.20.1 v4