DOH Announces MDS Roster Submission Dates
The Department of Health (DOH) has notified nursing homes of the 2017 Minimum Data Set (MDS) "picture" dates for purposes of calculating the Case Mix Index (CMI) used to adjust Medicaid rates for resident acuity. As in prior years, the state will use the last Wednesday in January and July. Homes will need to upload their picture date census rosters during three-week periods starting March 13, 2017 and Sept. 11, 2017. The notification is copied below.
DOH is developing new policies to help expedite CMI updates which will impact the roster submission troubleshooting process, which has led to delays in the past. An educational webinar to discuss these is being prepared. The goal of the changes will be to minimize the amount of time and effort DOH expends to ensure that all residents listed on a roster match with MDS assessments. To avoid CMI delays or other sanctions, homes should make sure that their MDS submissions are accurate and timely. Please note that ALL residents listed on the picture date census rosters must have an MDS on file, even when not required by regulation, to avoid defaulting to the lowest RUG category.
Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841
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Dear Administrator/Director of Nursing:
This is formal notification of your facility's 2017 Minimum Data Set (MDS) census data collection periods for Medicaid reimbursement. PLEASE ENSURE THAT THE APPROPRIATE STAFF IS NOTIFIED OF THIS SCHEDULE, AS IT IS THE ONLY COPY YOU WILL RECEIVE.
Census Collection Dates:
The census collection dates for 2017 are
- January 25, 2017
- July 26, 2017
- Each is a midnight census to include ALL RESIDENTS regardless of payer source.
- Please be sure to follow all CMS guidelines for the timely filing of MDS data.
Census Roster Data Upload Periods:
- Facilities will upload their January 25, 2017 census roster data over the HCS during the weeks of March 13, 2017 through March 31, 2017.
Please have all MDS data submitted and accepted by CMS prior to COB, Wednesday March 1, 2017.
- Facilities will upload their July 26, 2017 census roster data over the HCS during the weeks of September 11, 2017 through September 29, 2017.
Please have all MDS data submitted and accepted by CMS prior to COB, Wednesday August 30, 2017.
Please review the Policy and Procedure for Processing the Minimum Data Set (MDS) Assessment Data for Medicaid Rate Setting Purposes (Revised 12/2009) for detail on the MDS data collection process and upload. The policy manual is available on the MDS for NF Reimbursement section of the Health Commerce System (HCS).
All MDS CENSUS DATA must be submitted using the HCS. It is especially important to keep the list of the facility’s HCS coordinator and users current to avoid delays in submitting MDS CENSUS DATA. Remember that sharing user accounts is a breach of the security agreement signed by each HCS user. The MDS CENSUS DATA being submitted must be formatted using the DOHMDS for HPN software, a current version of which is always available for download on the HCS.
After your data has been accepted, you will have an additional seven (7) calendar days, specified in the acknowledgement, in which to make corrections.
Copies of the Operator's Certification forms are available on the MDS for NF Reimbursement Section of the HCS. As a reminder, MDS Census data cannot be used for rate-setting purposes until certification forms are on file.
If you have any questions about the implementation of RUGS-III using the MDS for Medicaid reimbursement please contact the Resident Assessment Unit as follows:
Telephone: (518) 473-4421
Email: PRIMail@health.ny.gov