Minnesota Implementation of the Minimum Data Set 3.0 (MDS 3.0)
News and Announcements
A1600 Clarification
CMS Modification Policy
A0310E
Resources
RAI Manual
jRAVEN
New Computer Security Requirement
Educational Opportunities
Minnesota Case Mix Information
Data Specifications
Subscribe to the Minnesota MDS 3.0 Web Site
Information about the implementation of the Minnesota MDS 3.0 can be delivered directly to you by email. Click on the link in the above list to Subscribe to the Minnesota MDS 3.0 web site. This service is free to anyone using the MDH web site. New and updated information about implementation of MDS 3.0 will be posted to this page. Check back often!
A Reminder: If your email address has changed, you must re-Subscribe to the MDS 3.0 web site in order to receive notification about information posted to this page.
This page contains information for nursing home providers, residents, families and other interested parties related to the implementation of the MDS 3.0 in Minnesota.
Posted will be information related to educational opportunities, links to federal websites, manuals and resources available, case mix modifications and other items of significance.
Please check the site frequently for new information.
News and Announcements
Training on Restorative Nursing MDS Coding Requirements
Restorative Nursing Programs (item O0500) assist residents to maintain independence in ADL’s and mobility which is important to most people. The requirements for coding Restorative Nursing Programs on the MDS are outlined in the Long Term Care Facility Resident Assessment Instrument User’s Manual. If all of the MDS requirements are not met, Restorative Nursing Programs should not be coded on the MDS. For many years, Case Mix Review staff have found that Restorative Nursing Programs are frequently coded on the MDS without all of the requirements being met.
The Minnesota Department of Health is offering a teleconference training session to assist providers in knowing when a program meets the MDS requirements and can be coded on the MDS.
When: Thursday, February 23, 2012, beginning at 10:00 a.m.
Instructors: Nadine Olness, State RAI Coordinator and Marci Martinson, Director of the Case Mix Review Program
Recommended participants: MDS nurses, DON’s, any nurses who participate in, write, supervise, or evaluate Restorative Nursing Programs.
To register for the call:http://www.health.state.mn.us/registration/nocharge/
We ask that only one person per facility register for the call as lines are limited.
CMS has posted a new version of the RAI Manual, see RAI Manual section.
Transition to RUG-IV for Case Mix
The following documents provide information to assist in the transition to RUG-IV for the Minnesota Case Mix System:
- RUG-IV Handout PowerPoint Slides (pdf:162k/11 pages)
- RUG-IV Transition Fact Sheet (pdf:177k/2 pages)
- Sample RUG-IV Transition Notice (pdf:32k/2 pages)
- RUG-III to RUG-IV Distribution Charts (pdf:1.72mb/34 pages)
Respiratory Nurse Proficiency - The Minnesota Case Mix Review Program will be looking for documented evidence for the proficiency of respiratory nurses. See the definition of respiratory therapy in Appendix A, page 19 of the RAI Manual.
CMS has published Transition for Implementation of FY 2012 SNF PPS Policies (pdf:20k/3 pages) document. (link to attached document) NOTE: THIS INFORMATION IS SPECIFIC TO MEDICARE Prospective Payment System Assessments only. It does NOT directly impact Minnesota Case Mix.
MDS 3.0 Alert - Coding of A1600 Clarification - April 26, 2011 (pdf:25k/ 1 page)
CMS Modification Policy (pdf:14k/ 1 page)
Effective April 1, 2011 CMS is revising the modification policy for reason for assessment and event dates.
A0310E (pdf:21k/ 1 page)
Modification not required if the submitted assessment is coded incorrectly.
Resources
The Centers for Medicare and Medicaid Services website contains several documents on MDS 3.0 that can be downloaded and a link to the Staff Time Resource Intensity Verification (STRIVE) Study information. Centers for Medicare and Medicaid Services MDS 3.0 website is:
http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp.
The CMS Skilled Nursing Facilities Spotlight web site contains information concerning the implementation of the MDS 3.0 and RUG-IV as it applies to Medicare assessments. The URL for the page is http://www.cms.gov/SNFPPS/02_Spotlight.asp
RAI Manual
CMS posted an updated version of the RAI Manual dated April 2012. To down load a copy of the updated MDS 3.0 RAI Manual go to the following MDS 3.0 website: http://www.cms.gov/NursingHomeQualityInits/45_NHQIMDS30TrainingMaterials.asp#TopOfPage. The updated RAI manual file name is "MDS 3.0 RAI Manual (V1.08) [ZIP 32MB]". This version of the RAI Manual is effective April 1, 2012.
PLEASE NOTE: The current RAI Manual (V1.07) dated October 2011and that is in effect until April 2012, is now located under the heading MDS 3.0 RAI Manual located in the box on the upper left of the page. Providers and interested persons are encouraged to check the CMS MDS 3.0 website frequently for the latest updates.
jRAVEN
jRAVEN the FREE software package from CMS for creating MDS 3.0 submission files is now available. jRAVEN may be downloaded from the QTSO website: https://www.qtso.com/ravendownload.html
New Computer System Security Requirement Effective November 15, 2010
Effective November 15, 2010, the Transport Layer Security (TLS) 1.0 must be active in your web browser in order to access QIES National Systems, including the new MDS 3.0 Submission System. For additional information on the new system requirement go to: https://www.qtso.com/.
Educational Opportunities
CMS Education Activities
The CMS training page is located at:
https://www.cms.gov/NursingHomeQualityInits/45_NHQIMDS30TrainingMaterials.asp#TopOfPage
CMS Open Door Forum information is located at:
http://www.cms.gov/OpenDoorForums/25_ODF_SNFLTC.asp#TopOfPage
Minnesota Department of Health Education Activities
MDS 3.0 WebEx Presentations (pdf:91k:5 pages)
Minnesota Case Mix Information
Case Mix Manual - Case Mix Facility Classification Manual for Nursing Facilities Effective January 1, 2012 Version 1.3.0 (pdf:639k/51 pages) has been posted. (link to new manual)
RUG-III - The Minnesota Case Mix system will continue to use the current RUG-III, 34 group model for Medicaid and private pay after the implementation of MDS 3.0 on October 1, 2010. View the RUG III Page for additional information. (pdf:12k/1 page)
RUG-IV and Rate Transition - View the RUG IV and Rate Transition(pdf:35k/1 page)
Section S - Minnesota does not have a state specific Section S.
Additional Quarterly Requirements - Minnesota does not have any additional items or requirements for MDS 3.0 quarterly assessments.
Data Specifications
Data Specifications Update MDS 3.0 and JRAVEN (pdf:34k/ 1 page)
CMS has announced The MDS 3.0 updates and jRaven updates to be made effective April 1, 2011.
CMS has posted the final data specifications for MDS 3.0 the providers and vendors will use to develop the submission files. This is a large posting with many large data files that have been "zipped" in order to save space. You will need "Winzip" or other zip software to access theses files. Several files are in PDF format. CMS has created a separate page for the data specifications. To access the webpage for the data specifications go to:
http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp and click on MDS 3.0 Technical Information in the box on the left hand side of the page.
Vendor Information - The Minnesota Department of Health held a teleconference for software vendors or corporate IT departments that are developing software for nursing homes to submit MDS 3.0 assessments. The teleconference conveyed information on Minnesota specific requirements related to the implementation of MDS 3.0 and for the calculation of RUG-III and RUG-IV.
A summary of the teleconference is posted at this link:
Minnesota Vendor Conference Summary Notes March 31, 2010 (pdf:11k/2 pages)
Contact Us
WHERE TO FIND INFORMATION
For information about the Minnesota Case Mix System, MDS 3.0 submission or payment. Revised 6/2011 (pdf:13k/1 page)