New validation report RUG warnings for Virginia Providers re: Z0250

DMAS is running the RUG-III version 48 grouper in Z0250, per an announcement from DMAS emailed to all providers today.   They are testing this grouper to see what the financial implications are.  This will have no effect on your Case Mix CMI.  The Z0200 RUG will be used for state Case Mix CMI.
You will, hover,  get error messages on your validation report until your vendor puts this grouper into your software.

Here is a copy of the email:

From: Wendy malone [mailto:WMalone@MSLC.COM]
Sent: Friday, May 31, 2013 10:16 AM
Cc: carla.russell@dmas.virginia.gov; mary.hairston@dmas.virginia.gov; Richard Weinstein
Subject: Nursing Facility MDS Data Change - GoFileRoom Message

The Department of Medical Assistance Services (DMAS) is evaluating a new version of the Resource Utilization Group (RUG).  In order to test the new version of the grouper, DMAS will be adjusting the Minimum Data Set (MDS) requirements for Virginia nursing facilities.  Effective June 7, 2013, the RUG-IV, version 48 group will be included on the Virginia MDS data.

Once the Virginia MDS data is updated to include the alternate calculation of RUG-IV, version 48, the MDS software must be adjusted to calculate the RUG-IV version 48 group.  Nursing facilities or vendors that do not adjust the MDS software settings to allow the additional calculation will receive warning messages for MDS Items Z0250A and Z0250B.  These warning messages do not prevent the successful transmission of the MDS data.  Facilities or vendors may ignore these warning messages.

The addition of the alternate calculation for RUG-IV, version 48 will not impact the primary RUG-III, version 34 calculation.  DMAS will continue to use the RUG-III, version 34 group in the calculation of case mix scores for participating nursing facilities.

If you have any questions regarding the additional calculation, please contact Sandra Lee, Virginia Department of Health atSandy.Lee@vdh.virginia.gov, Priscilla Bullard, Virginia Department of Health at Priscilla.Bullard@vdh.virginia.gov, or Carla Russell, DMAS atCarla.Russell@dmas.virginia.gov.

Wendy Malone

Manager

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