With section G’s removal from MDS 3.0 v1.18.11, the residual implications are far-reaching. On Sept. 20th. CMS released QSO-23-21-NH describing these significant changes. Along with this memo, CMS released updated versions of the 5-Star User’s guide and the Quality Measures User’s Manual detailing the specific technical specifications to the quality measures and staffing star calculations. In this presentation, we will break these revisions apart so you will walk away with a better understanding of what to expect as these changes take effect.