Mds Rug Levels

The mds contains extensive information on the resident s nursing needs adl impairments cognitive status behavioral problems and medical diagnoses. Mds 3 rug iii version 5 12 44 grouper. The 2001 minnesota legislature passed legislation adapting the resource utilization group rug iii 34 group case mix model developed by cms using the mds 2 0 information.

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Mds 3 0 rug iv decision tree 48 grouper minnesota case mix system.

Mds rug levels. Case mix vendor page updated 12 2014 minnesota specific mds and case mix criteria. Rug iii version 5 2 calculator worksheet 34 group model. Mds 3 rug 53 groups. New revised updated policies ohio bwc ohio gov.

Determine whether the ihcp is reimbursing the provider for the appropriate rug iv classification medicaid rates effective july 1 2020. Level of self performance the activity did not occur or family and or non facility staff provided care 100 of the time for that activity over the entire seven day look back period. Minimum data set supportive documentation guidelines rug iii version 5 12 34 grouper june 1 2012. The rug iv classification system includes eight major classification categories.

Rug iv classification system 66. That system used information from the minimum data set version 2 0 mds 2 0 to classify residents. Rug iv classifications help medicare determine the part a snf pps payment. 1 apr 2018 january 2020 medicare resource utilization group iv rug hipps codes.

Rugs are mutually exclusive categories that reflect levels of resource need in long term care settings primarily to facilitate medicare and medicaid payment they are assigned to individuals based on data elements derived from the ltc minimum data set mds there is a standard order or hierarchy and each rug. Mds 3 0 rug iv 66 category table urban adls end splits rug cmi rate 042 aids 15 16 signs of depression le2 45 412 73 941 02 15 16 no signs le1 33 345 26 787 19 11 14 signs of depression ld2 42 396 66 904 38 11 14 no signs ld1 27 332 42 757 92. The mds 3 0 classifies residents into a resource utilization group version iv rug iv based on the average resources needed to care for someone with similar care needs. Two types of categorical level ii decisions may be applied.

Rug iv categories and characteristics 1 major rug iv category rug iv score characteristics associated with major rug iv category rehabilitation plus extensive services rux rul rvx rvl rhx rhl rmx rml rlx residents satisfying all of the following three conditions. The mds assessment data is used to calculate the rug iii classification necessary for payment. Mds and rai information updated 03 2020 information about the mds assessment instrument and the rai manual including links to pertinent cms web pages.