CMS Pub. 100-02 Chapter 8 (SNF skilled coverage — management and evaluation of the care plan and teaching and training as covered services; the daily-basis and practical-matter tests).
CMS MDS 3.0 RAI User’s Manual v1.20.1 (eff. 1 Oct 2025), Sections D (PHQ), F, Q, I.
42 CFR 483 §483.40 with State Operations Manual Appendix PP F745 (medically-related social services), secondary to coverage. DiraChart Foundations 1.1–1.11 · Behavioral reference.
Standing flags. Model notes are scaffolds — fill with the shift’s actual values and confirm every threshold against current orders and the care plan. Coverage rules, MDS item sets, and F-tag guidance change; verify against the current published source. MAC/LCD and accreditation items are facility-fill.
