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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Changes to Statewide Case Mix Review Program Activities (PDF) (NEW 03/2020)

Minnesota Case Mix Review Manual (PDF) Includes CMR Portal Instruction, Appendix E (updated 01/2021)

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 10/2020)
Information designed for providers including the Case Mix Classification Manual for Nursing Facilities.

MDS and RAI Information (updated 10/2020)
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 10/2020)
History includes historical documents that may be valuable for research but are no longer current.

Updated Monday, January 04, 2021 at 11:27AM