Case Mix Review Program Home

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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Case Mix Manual (PDF) (updated 05/2015)

Information for Residents, their Families, and Responsible Parties (updated 09/2019)
Information to help residents and families better understand the Case Mix System.

Case Mix Information for Providers (updated 09/2019)
Information designed for providers including the Case Mix Classification Manual for Nursing Facilities.

MDS and RAI Information (updated 09/2019)
Information about the MDS assessment instrument and the RAI manual including links to pertinent CMS web pages.

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

History (updated 8/2018)
History includes historical documents that may be valuable for research but are no longer current.

Updated Tuesday, September 17, 2019 at 11:43AM