Minnesota Case Mix Review Program

Minnesota Case Mix is a system that classifies residents into distinct groups, called Resource Utilization Groups (RUGs), based on the resident’s condition and the care the resident receives. These groups determine the daily rate the facility charges for the resident’s care. DHS assigns a value to each classification, which they use to calculate the daily rate of payment for private pay and Medicaid stays.

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Information on the new CMR Portal is located on the Case Mix Information for Providers. (Updated 1/2015)

Case Mix Manual (PDF: 921KB/43 pages) (Last updated 05/2015)

Information for Residents, their Families, and Responsible Parties (Last updated 11/2014)
Information to help residents and families better understand the Case Mix System.

Case Mix Information for Providers (Updated 11/2015)
Information designed for providers including the Case Mix Classification Manual for Nursing Facilities.

MDS and RAI Information (Last updated 8/2016)
Information about the MDS assessment instrument and the RAI manual including links to pertinent CMS web pages.

Case Mix Vendor Page (Last Updated 12/2014)
Minnesota-specific MDS and Case Mix criteria.

History (Last Updated 8/2016)
History includes historical documents that may be valuable for research but are no longer current.

Updated Monday, August 22, 2016 at 01:29PM