Roster Verification Deadline Is Dec. 31st
Nursing homes are required to verify that residents listed on the Health Commerce System (HCS) as being in the facility on Jan. 29, 2020 are matched with the correct Minimum Data Set (MDS) assessment data before the end of the year. For existing residents, this should be the MDS with the most proximate assessment reference date (ARD) through Jan. 29th. For newly admitted residents, this should be the most current assessment through Feb. 11, 2020.
Please note that providers must verify and “set the match” for all residents in the facility on Jan. 29th, but that only Medicaid residents (Medicaid, Medicaid Pending, Medicaid Managed Care, Managed Long Term Care (MLTC), Program of All-Inclusive Care for the Elderly (PACE), Medicaid Advantage Plus (MAP), and Fully Integrated Duals Advantage (FIDA)) will be included in the case mix index (CMI) calculation. This must be completed by Dec. 31st, and the operator’s certification must be submitted by Jan. 8th.
If providers encounter a situation where a resident that was in house on the picture date does not appear on the HCS list or if the incorrect assessment is matched to a resident, they should contact the Department of Health (DOH) by sending an email to BLTCRMDS using the secure transfer application on the HCS. Questions that do not include resident-identifying information can be submitted to MDSBRHCR@health.ny.gov. (Please note the different email addresses). Instructions for using the secure transfer function on the HCS are available here (see page 22). Links to the associated Dear Administrator Letter (DAL) and other resources are available here.
We urge members to review their facility data carefully for accuracy well before the Dec. 31st deadline, to contact DOH if corrections are needed, and to let us know if they encounter any difficulties with the process.
Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841