Resources
Effective March 15, 2024, Myers and Stauffer, as instructed by the Department, will modify the notification/MDS Review process for skilled nursing facilities scheduled to receive a Medicaid Case-Mix Review. The updated timeline is in response to feedback from the industry to streamline the notice process and to make the document submission process easier on the nursing homes. The updated timeline is:
- Initial notification for an upcoming MDS Case-Mix Review will be provided not less than 30 calendar days prior to the scheduled date of the entrance conference.
- Facilities will be provided the resident request list on the day of the entrance conference.
- Facilities must upload/provide supporting medical record documentation no later than close of business on the third business-day following the date of the entrance conference. For example, an entrance conference date of March 13, 2024, the facility must provide requested medical record documentation not later than close of business on Monday, March 18, 2024.
Value Based Purchasing Program Development
CMS Quality and PBJ Data Published in January 2024
Quality Period: April 1, 2024 - June 30, 2024
Time-Weighted Monthly Report Calendar
Resident Roster Information
Resident Roster Webinar Update (January 2020)
Resident Roster Webinar Presentation (December 2019)
Time-Weighted CMI Resident Roster User Guide
Web Portal User Guide
Web Portal User Registration Form
Provider Notifications
All provider notifications are sent via the Web Portal. Please check your portal account for the most current notification.
February 10, 2020 - Q4 2019 Preliminary Time-Weighted Resident Listing Reports
Case Mix Implementation and Overview
On September 3, 2019, the Department hosted a public meeting to discuss implementation and overview of case mix reimbursement.
View the presentation
Frequently Asked Questions
Components of the CMI
On November 22, 2019 the Department hosted a webinar on the components of the CMI. CMI is a weight assigned to a specific Resource Utilization Group (RUG) which reflects the diversity, clinical complexity, and resource needs of all residents within a nursing facility.
View the presentation
CMS Resources
The CMS PDPM website includes a variety of educational and training resources to assist in understanding the Medicare PDPM method.