Current through September 24, 2024
A. Nursing
facilities must complete the Minimum Data Set (MDS) 3.0, including Section S,
which is the Resident Assessment Instrument (RAI) specified by the Division of
Medicaid and approved by the Centers of Medicare and Medicaid Services (CMS),
on all residents regardless of source of payment.
B. Section S identifies beneficiaries
residing in an Alzheimer's/dementia care unit of a nursing facility which must
be completed on all residents during the specified time period of each of the
following MDS assessments including, but not limited to:
1. Comprehensive (NC) which includes:
a) Admission,
b) Annual,
c) Significant Change in Status Assessment
(SCSA), and
d) Significant
Correction to Prior Comprehensive Assessment (SCPA),
2. Prospective Payment System
(PPS),
3. Quarterly (NQ),
4. Significant Correction to Prior Quarterly
Assessment (SCQA),
5. Entry
Tracking Record (NT),
6. Death in
Facility Tracking Record (NT),
7.
Discharge Assessment - Return not anticipated (ND), and
8. Discharge Assessment - Return Anticipated
(ND).
C. Nursing
facilities cannot indicate in Section S that a resident has received care in an
Alzheimer's/dementia care unit if the nursing facility does not have a
designated Alzheimer's/dementia care unit. The fourteen (14) day look-back
period cannot include:
1. A resident's
hospital stay in a geriatric psychiatric unit, or
2. An Alzheimer's/dementia care unit stay in
another nursing facility.
D. The RAI must be completed in accordance
with the most current CMS Long-Term Care Facility Resident Assessment
Instrument User's Manual and the Division of Medicaid's requirements as
follows:
1. An Admission Assessment, which is
a comprehensive assessment, must be completed by the fourteenth (14th) calendar
day of the resident's admission.
2.
An Annual Assessment, which is a comprehensive assessment, must be completed
within three hundred sixty-six (366) calendar days of the previous assessment
reference date for an OBRA comprehensive and ninety-two (92) calendar days of
the previous assessment reference date for an OBRA Quarterly
assessment.
3. A Significant Change
in Status Assessment, which is a comprehensive assessment, must be completed by
the fourteenth (14th) calendar day following the determination that a
significant change has occurred.
4.
A Quarterly Assessment, which is a non-comprehensive assessment, must be
completed no less than eighty (80) calendar days and no more than ninety-two
(92) calendar days from the previous assessment reference date.
5. A Significant Correction to Prior
Comprehensive Assessment must be completed no later than the fourteenth (14th)
calendar day following the determination that a significant error in a prior
comprehensive assessment has occurred.
6. A Significant Correction to Prior
Quarterly Assessment, which is a non-comprehensive assessment, must be
completed no later than fourteen (14) days following the determination that a
significant error in a prior quarterly assessment has occurred.
42
U.S.C. §§
1395i-3,
1396r;
42 C.F.R. §§ 483.20,
483.315; Miss. Code Ann. §§ 43-13117,
43-13-121.
