§ 256R.17 — Case Mix
Plain-Language Summary
Nursing facility residents are classified into case mix groups based on their care needs. The commissioner assigns a case mix index to each group, which affects the facility's payment rate. Residents must be assessed on a schedule set by the Department of Health.
256R.17 CASE MIX.
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Subdivision 1.Case mix classifications.
The case mix classifications shall be those established under section 144.0724. §
Subd. 2.Case mix indices.
(a) The commissioner shall assign a case mix index to each case mix classification as determined by the commissioner of health under section 144.0724.
(b) An index maximization approach shall be used to classify residents. “Index maximization” has the meaning given in section 144.0724, subdivision 2, paragraph (c). §
Subd. 3.Resident assessment schedule.
(a) Nursing facilities must conduct and submit case mix classification assessments according to the schedule established by the commissioner of health under section 144.0724, subdivisions 4 and 5.
(b) The case mix classifications established under section 144.0724, subdivision 3a, are effective the day of admission for new admission assessments. The effective date for significant change assessments is the assessment reference date. The effective date for annual and quarterly assessments and significant corrections assessments is the first day of the month following assessment reference date. §
Subd. 4.Notice of resident reimbursement case mix classification.
Nursing facilities shall provide notice to a resident of the resident’s case mix classification according to procedures established by the commissioner of health under section 144.0724, subdivision 7. §
Subd. 5.Reconsideration of resident case mix classification.
Any request for reconsideration of a resident case mix classification must be made under section 144.0724, subdivision 8.
History:
2016 c 99 art 1 s 15; 2016 c 158 art 1 s 122; 2022 c 98 art 7 s 26; 2023 c 61 art 2 s 8
History: History: 2016 c 99 art 1 s 15; 2016 c 158 art 1 s 122; 2022 c 98 art 7 s 26; 2023 c 61 art 2 s 8