Minnesota Administrative Rules
Agency 196 - Human Services Department
Chapter 9549 - NURSING FACILITY PAYMENT RATES
Part 9549.0058 - RESIDENT CLASSES AND CLASS WEIGHTS
Universal Citation: MN Rules 9549.0058
Current through Register Vol. 49, No. 13, September 23, 2024
Subpart 1. Resident classes.
Each resident or applicant must be assessed according to items A to E based on the information on the assessment form completed in accordance with part 9549.0059.
A. A resident or applicant must be assessed
as dependent in an activity of daily living or ADL according to the following
table:
| ADL | Dependent if Score At or Above |
| Dressing | 2 |
| Grooming | 2 |
| Bathing | 4 |
| Eating | 2 |
| Bed mobility | 2 |
| Transferring | 2 |
| Walking | 2 |
| Toileting | 1 |
B. A
resident or applicant assessed as dependent in fewer than four of the ADLs in
item A must be defined as Low ADL. A resident or applicant assessed as
dependent in four through six of the ADLs in item A must be defined as Medium
ADL. Each resident or applicant assessed as dependent in seven or eight of the
ADLs in item A must be defined as High ADL.
C. A resident or applicant must be defined as
special nursing if the resident or applicant meets the criteria in subitem (1)
or (2):
(1) the resident or applicant is
assessed to require tube feeding; or
(2) the resident or applicant is assessed to
require clinical monitoring every day on each shift and the resident is
assessed to require one or more of the following special treatments:
(a) oxygen and respiratory therapy;
(b) ostomy/catheter care;
(c) wound or decubitus care;
(d) skin care;
(e) intravenous therapy;
(f) drainage tubes;
(g) blood transfusions;
(h) hyperalimentation;
(i) symptom control for the terminally ill;
or
(j) isolation
precautions.
D. A resident or applicant must be defined as
having a neuromuscular condition if the resident or applicant is assessed to
have one or more of the diagnoses coded to the categories in subitems (1) to
(8) according to the International Classification of Diseases, 9th Revision,
Clinical Modification (ICD-9-CM), as published by the Commission on
Professional and Hospital Activities, 1968 Green Road, Ann Arbor, Michigan
(1978). This publication is incorporated by reference. The publication is
available through the Minitex interlibrary loan system and is not subject to
frequent change.
(1) diseases of nervous
system excluding sense organs (320-359 excluding 331.0);
(2) cerebrovascular disease (430-438
excluding 437);
(3) fracture of
skull (800-804), excluding cases without intracranial injury;
(4) intercranial injury, excluding those with
skull fracture (850-854);
(5)
fracture of vertebral column with spinal cord injury (806);
(6) spinal cord injury without evidence of
spinal bone injury (952);
(7)
injury to nerve roots and spinal plexus (953); or
(8) neoplasms of the brain and spine (170.2,
170.6, 191, 192, 198.3, 198.4, 213.2, 213.6, 225, 237.5, 237.6, and
239.6).
E. A resident or
applicant must be defined as having a behavioral condition if the resident's or
applicant's assessment score is two or more for behavior on the assessment
form.
Subp. 2. Resident classes.
The commissioner shall establish resident classes according to items A to K. The resident classes must be established based on the definitions in subpart 1.
A. A resident must be assigned to class A if
the resident is assessed as:
(1) Low
ADL;
(2) not defined behavioral
condition; and
(3) not defined
special nursing.
B. A
resident must be assigned to class B if the resident is assessed as:
(1) Low ADL;
(2) defined behavioral condition;
and
(3) not defined special
nursing.
C. A resident
must be assigned to class C if the resident is assessed as:
(1) Low ADL; and
(2) defined special nursing.
D. A resident must be assigned to
class D if the resident is assessed as:
(1)
Medium ADL;
(2) not defined
behavioral condition; and
(3) not
defined special nursing.
E. A resident must be assigned to class E if
the resident is assessed as:
(1) Medium
ADL;
(2) defined behavioral
condition; and
(3) not defined
special nursing.
F. A
resident must be assigned to class F if the resident is assessed as:
(1) Medium ADL; and
(2) defined special nursing.
G. A resident must be assigned to
class G if the resident is assessed as:
(1)
High ADL;
(2) scoring less than
three on the eating ADL;
(3) not
defined special nursing; and
(4)
not defined behavioral condition.
H. A resident must be assigned to class H if
the resident is assessed as:
(1) High
ADL;
(2) scoring less than three on
the eating ADL;
(3) defined
behavioral condition; and
(4) not
defined special nursing.
I. A resident must be assigned to class I if
the resident is assessed as:
(1) High
ADL;
(2) scoring three or four on
the eating ADL;
(3) not defined
special nursing; and
(4) not
defined neuromuscular condition.
J. A resident must be assigned to class J if
the resident is assessed as:
(1) High
ADL;
(2) scoring three or four on
the eating ADL;
(3) not defined
special nursing; and
(4) defined
neuromuscular condition or scoring three or four on behavior.
K. A resident must be assigned to
class K if the resident is assessed as:
(1)
High ADL; and
(2) defined special
nursing.
Subp. 3. Class weights.
The commissioner shall assign weights to each resident class established in subpart 2 according to items A to K.
A. Class A, 1.00;
B. Class B, 1.30;
C. Class C, 1.64;
D. Class D, 1.95;
E. Class E, 2.27;
F. Class F, 2.29;
G. Class G, 2.56;
H. Class H, 3.07;
I. Class I, 3.25;
J. Class J, 3.53;
K. Class K, 4.12.
Statutory Authority: MS s 256B.41; 256B.431
Disclaimer: These regulations may not be the most recent version. Minnesota may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
