Now Online: MDS 3.0 Assessment Deletion Requestion Forms Available in iQIES

Survey and Certification
 
The MDS 3.0 Manual Individual Correction/Deletion Request form is required under certain situations when a modification or inactivation is not appropriate. Previously, this was a manual process that required facilities to complete a paper form and send it via certified mail to the State Agency. 

This form is required to correct the following MDS error types: 

  • Unit Certification or Licensure Designation (Item A0410)  
  • State-assigned facility submission ID (FAC_ID) or State Code (STATE_CD)   
  • Test record submitted as a production record   
  • Record submitted that was not for OBRA or Medicare Part A purposes (e.g., a 5-day PPS MDS is submitted for a managed care resident) in certain situations (see Chapter 5, Section 5.8 of the RAI Manual v1.19.1) 
 This process now may be completed within iQIES online by persons with the following iQIES user roles: 

  • Provider Security Official 
  • Assessment Submitter 
  • Provider Administrator 
  • Assessment Coordinator 
  • Assessment Viewer 
Additional documentation from CMS will be released in the near future. We will monitor and provide an update when this occurs. 
 
If you have any questions or concerns, please contact the iQIES Service Center by email at iqies@cms.hhs.gov or by phone at (800) 339-9313. Or to create a new ticket online, track an existing ticket, or recover your HARP password account, please use the CCSQ Support Central: Self-Service Portal.