Minnesota Department of Health

Minnesota Laws of 1984 establish a payment system (case mix) for residents in nursing homes and boarding care homes certified to participate in the Medicaid Program. This payment system has 11 payment classifications based on the assessed needs of the resident.

The letters "A" through "K" designate the classifications, with "A" being the lowest classification rate, indicating little care is needed, and "K" the highest classification and payment rate, indicating heavy care is needed.

The facility staff must give this notice to you or your representative within three business days of receiving the notice. They will answer any questions you or your representative have about the assessment, classification notice, or case mix system.

If you disagree with this classification, you or your representative have thirty (30) days to request a reconsideration. This request must be in writing to the Department of Health and include the following:

• the "Request for Reconsideration of Resident Classification" form, (available from your facility),
• a copy of the assessment form, (available from your facility),
  and
• documentation from the medical records prior to the assessment date supporting your reasons for disputing the classification (also available from your facility).

If You need further help, contact the Nursing Home Ombudsman Program which is deigned to assist nursing home residents and is separate from the Health Department and your facility. Their address is:

@OMB

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