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RAI Fall Definition and AHCA Resource

The Centers for Medicare & Medicaid Services (CMS) recently released the RAI Manual v1.20.1 effective October 1, 2025. This update includes significant changes to the definitions and coding guidance for falls in J1700, J1800, and J1900C.

To help providers navigate these changes, AHCA has created a resource for members titled Updates to the RAI Manual Fall Definitions & Coding Instructions Effective October 1, 2025.

Questions about the fall coding changes or the updated RAI Manual may be sent to regulatory@ahca.org.
 
 
Staff Contact: mcarland@mehca.org