Minnesota Case Mix Review Program

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.

    Case Mix Classification Manual

    A revised "Case Mix Facility Classification Manual for Nursing Facilities Version 1.3.0" has been posted under the Case Mix Manuals heading below.

    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:

    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.

    Consumer Fact Sheets

    The Minnesota Department of Health, Case Mix Review Program has developed fact sheets to be used by residents, resident representatives and families in understanding the Minnesota Case Mix System and the case mix classifications. The purpose of the fact sheets is to make the case mix system more understandable to the residents, resident representatives and families.

    RUG-IV Directory of Consumer Fact Sheets - for Case Mix Classifications with effective dates of January 1, 2012, or later.

    RUG-III Directory of Fact Sheets for Consumers - for Case Mix Classifications effective December 31, 2011, or earlier.

    RUG IV and Rate Transition - View the RUG IV Page (pdf:35k/1 page) for additional information.

    Beginning October 1, 2010, Minnesota will use MDS 3.0 to calculate RUG III Case Mix Classifications. Go to the Minnesota MDS 3.0 web page for details on the conversion to MDS 3.0.

Case Mix Manuals

Case Mix Information

RAI Information

    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.

    CMS Educational Programs - Educational programs provided by Centers for Medicare and Medicaid Services (CMS) can be viewed at: http://www.cms.internetstreaming.com Participants must register the first time. There is no charge to view the programs. They are available to view for one year after the program completion date.

    Recommendations for Documentation of MDS Assessments -  (Revised August 2009)  (pdf:32k/2 pages)

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Updated Monday, 06-Feb-2012 10:35:16 CST