{"abstract":"This final rule establishes a resident assessment instrument for use by long term care facilities participating in the Medicare and Medicaid programs when conducting a periodic assessment of a resident's functional capacity. The resident assessment instrument (RAI) consists of a minimum data set (MDS) of elements, common definitions, and coding categories needed to perform a comprehensive assessment of a long term care facility resident. A State may choose to use the Federally established resident assessment instrument or an alternate instrument that is designed by the State and approved by us. These regulations establish guidelines for use of the data set and designation of the assessment instrument. The provisions contained in these regulations implement statutory requirements. The resident assessment instrument is intended to produce a comprehensive, accurate, standardized, reproducible assessment of each long term care facility resident's functional capacity.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Health Care Financing Administration","name":"Health Care Finance Administration","id":559,"url":"https://www.federalregister.gov/agencies/health-care-finance-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/559","parent_id":221,"slug":"health-care-finance-administration"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/1997/12/23/97-32828.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"483","title":42}],"citation":"62 FR 67174","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Except for Secs. 483.20(f) and 483.315(h), these regulations are effective March 23, 1998. Sections 483.20(f) Facility computerization requirements and 483.315(h) State computerization requirements are effective June 22, 1998.","disposition_notes":null,"docket_ids":["HCFA-2180-F"],"dockets":[],"document_number":"97-32828","effective_on":"1998-03-23","end_page":67213,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":null,"html_url":"https://www.federalregister.gov/documents/1997/12/23/97-32828/medicare-and-medicaid-resident-assessment-in-long-term-care-facilities","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/97-32828?publication_date=1997-12-23","mods_url":"https://www.govinfo.gov/metadata/granule/FR-1997-12-23/97-32828/mods.xml","not_received_for_publication":null,"page_length":40,"page_views":{"count":308,"last_updated":"2026-07-25 22:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-1997-12-23/pdf/97-32828.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"1997-12-23","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/1997/12/23/97-32828.txt","regulation_id_number_info":{"0938-AE61":{"issue":"199710","html_url":"https://www.federalregister.gov/regulations/0938-AE61/resident-assessment-in-long-term-care-facilities-hsq-180-f-","title":"Resident Assessment in Long-Term Care Facilities (HSQ-180-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=199710&RIN=0938-AE61&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AE61"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":67174,"subtype":null,"title":"Medicare and Medicaid; Resident Assessment in Long Term Care Facilities","toc_doc":null,"toc_subject":null,"topics":[],"type":"Rule","volume":62}