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The MDS 3.0 is part of that assessment process and is required by federal CMS. in the RAI Manual.2) Admission, Annual, Significant Change in Status, – Significant Change in Status Assessment. – Part A PPS Discharge Assessment. Page 44. FACTORS IMPACTING SNF PPS. ASSESSMENT SCHEDULING.research of the existing MDS 3.0 manual and guidelines. A0310A - Significant Change Assessment - Under significant change - Any decline in an ADL In an effort to help prepare you for the revisions, we have compiled a brief summary of the most significant changes to the MDS 3.0 RAI Manual known to date MDS 3.0 RAI User's Manual including chapter, appendices, and change-table The Resident Assessment Instrument (RAI) helps nursing home staff in “Significant Change” is a major decline or improvement in a resident's status that 1) will not normally resolve Link to the LTCF RAI User's Manual: