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The countdown is on- nursing facilities enrolled as MassHealth providers are required to complete additional MDS fields next week.

Effective October 1, 2021, MassHealth will require nursing facilities to complete: Items GG0130 and GG0170 Item I0020, including I0020B Item J2000 Item J2100 If response to Item J2100 is ‘Yes’, then Items J2300 – J5000 must be completed Providers should prepare by verifying software setup meets new requirements for entry and transmission on OBRA assessments; … Continue reading

CT Case Mix Rollout Plan Approved- First Phase Set to Begin Next Week

The Connecticut Department of Social Services (DSS) recently announced the Office of Policy Management (OPM) has approved a three-year plan for the implementation of a Medicaid Case Mix Index payment system in Connecticut. The outlined plan includes multiple phases, with full Case Mix implementation scheduled to occur in 2024. Important Dates: CT Case Mix Rollout … Continue reading

Connecticut Providers- Are your CMI weights what you expected?

Final Resident Roster reports are available to retrieve from the Myers and Stauffer portal. As a case mix consultant to nursing home associations and the State of Connecticut, Celtic has unique insight and helps to position our clients to be successful. Wondering how the CMI payer system will influence your reimbursement and clinical operations? Celtic … Continue reading

CMS Publishes New Expectations Regarding COVID-19 Immunizations

The interim final rule with comment period (IFC) details requirements for LTC providers to establish: Policies and procedures which ensure residents and staff have access to the COVID-19 vaccine or information on obtaining the vaccine, and education regarding benefits and risks   Documentation of required COVID-19 vaccine education, and whether the residents and staff received … Continue reading