MDS Collection – July 2021 Slide Deck

The NYS DOH held a webinar on Wednesday, July 7 regarding changes to the MDS collection period. Key points are listed below. See slides attached. These slides as well as the Q & A from the webinar will also be posted on the HCS.

• The census dates in January and July have been eliminated.
• The case mix index is now calculated using an AVERAGE of ALL Medicaid assessments.
• The case mix index for the July 2021 rates will include ALL assessments submitted to CMS from October 1, 2020 through March 31, 2021.
• Facilities will no longer select residents to include in the census.
• Consistent with past practice, facilities will continue to review and make necessary updates (payor source, TBI, BMI, Dementia, Authorized Specialty) to their file on the HCS.
• The 5% cap on case mix index increases or decreases from the previous rate period has been eliminated.
• The MDS Certification form has been amended and continues to be required. The Certification form required for reporting starting in July, 2021 accompanies this letter.
• Please note, if your certification is not received by July 30, 2021, the Department will use your facility’s prior case mix index to calculate rates.
• Additionally, Public Health Law §12 authorizes the Department to access a penalty of up to $2,000 for each violation of any regulation.

July 2021 MDS Process Timeline

The Department considers each day that a certification is not submitted by the due date to be a separate violation of 10 NYCRR 86-2.40 (m).

NYSHFA/NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36