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MDS collection 2021-2

This letter provides information regarding the Minimum Data Set (MDS) data collection periods for the January 2022 Medicaid reimbursement rates.

Please be reminded that the Department is now utilizing all Medicaid assessments to calculate the case mix index. Consistent with past practice, facilities will continue to review and make necessary updates (payor source, BMI, Dementia, Authorized Specialty) to their file on the HCS.

The case mix index for the January 2022 rates will include ALL assessments submitted to CMS with an ARD between April 1, 2021 through September 30, 2021.

The table below provides a high level timeline for the collection process:

Date Task Owner
March 4, 2022 Load MDS data to Health Commerce System (HCS) DOH
March 4 through March 18,2022 Review census data (update payer, BMI, TBI, DEM, and Specialty) and make changes if necessary Providers
Immediately following submission of MDS data; NO LATER THAN 7 DAYS AFTER MDS SUBMISSION Submit MDS Certifications electronically to DOH Providers
March 25, 2022 Final date for Department to RECEIVE Certifications Providers

The facility certification is due no later than seven (7) calendar days after submission. Please ensure your updates are done prior to March 18, 2022 in order to meet the certification deadline.

Please note, if your certification is not received by March 25, 2022, 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. The Department considers each day that the certification is not submitted by the due date to be a separate violation of 10 NYCRR 86-2.40 (m).

If you have any questions, please send an email to MDSBRHCR@health.ny.gov  and a member of the MDS team will respond to your questions.

NYSHFA/NYSCAL CONTACTS:

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