| 1986 |
IOM report was published. |
| 1986 |
The RUG-II New York State Medicaid case-mix payment system was developed. |
| 1990–1991 |
The RAI MDSwas developed and implemented |
| 1990 |
The language changed from nursing to interdisciplinary care plan |
| 1994 |
RUG-III development and testing was done. |
| 1995 |
The RUG-III was used in 10 state Medicaid programs. |
| 1995 |
MDS 2.0 was implemented. Quality Indicators (QI)s were developed and implemented. |
| 1997 |
The Prospective Payment System for SNFs was implemented. |
| 2000 |
MDS 2.0 revisions were made. Electronic transmission of data began in 1998 and was required by 2000. |
| 2002 |
The Quality Measures (QM)s were implemented. |
| 2010 |
RUG-IV was implemented. |
| 2012 |
MDS 3.0 was implemented. |
| 2012 |
The Resident Assessment Protocols (RAPS) were replaced with Care Area Assessments (CAAs). |
| 2014 |
A component of the Accountable Care Act, (IMPACT), mandated changes in the Medicare and Medicaid reimbursement system. |
