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S.F. No. 1286 - New Federal Requirements Relating to Nursing Home Payment and Resident Case Mix Classification
 
Author: Senator David Hann
 
Prepared By:
 
Date: April 26, 2011



 
This bill amends Minnesota Statutes, section 144.0724, to conform to new federal requirements relating to nursing home payment and resident case mix classification.
Section 1 (144.0724, subdivision 2) adds a new Resource Utilization Group classification model, “RUG-IV,” to the case mix index in conformity to the updated federal Minimum Data Set (MDS 3.0).
Section 2 (144.0724, subdivision 3) updates the MDS reference to 3.0, and allows the current resident reimbursement (known in Minnesota as “case mix”) classification to be effective through December 31, 2011.
Section 3 (144.0724, subdivision 3a) is a new subdivision establishing a new resident reimbursement classification beginning January 1, 2012. The Commissioner of Health shall create case mix classes according to the 48 Resource Utilization Groups, based on the individual items on the MDS 3.0 or any subsequent version, and as defined in the Facility Manual for Case Mix Classification issued by the Minnesota Department of Health (MDH).
Section 4 (144.0724, subdivision 4) refers to MDS 3.0 or any subsequent version when requiring MDH to conform to the case mix assessment schedule, and requires all assessments to have an Assessment Reference Date (ARD).
Section 5 (144.0724, subdivision 5) specifies that nursing facilities accepting a short stay rate (previously called a default rate) with a case mix of index of 1.0, in lieu of submitting an initial admission assessment, must elect this option annually.
Section 6 (144.0724, subdivision 6) adds a reference to the new RUG –IV classification.
Section 7 (144.0724, subdivision 9) adds a reference to the new RUG –IV classification, and requires the Commissioner of Health to make audit results available electronically instead of in writing.
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