10.07.02.59

.59 Resident Status Assessment.

A. A nursing home shall use the following forms and procedures for resident assessment as described in the CMS Manual System, Pub. 100-07 State Operations Provider Certification and in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Userís Manual:

(1) The Minimum Data Set (MDS) version as determined by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, in Transmittal No. 22, referenced in §B of this regulation.

(2) MDS Care Area Assessment process; and

(3) Care plans.

B. The nursing home shall complete all assessments in accordance with the provisions of 42 CFR §483.20, as amended.

C. A nursing home certified for participation in Medicare or Medicaid shall complete and electronically submit the assessment to the Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system. The assessment shall:

(1) Use a standard record layout format;

(2) Use a data dictionary as identified by the automated data processing requirements; and

(3) Pass standardized edits as defined by CMS and the State.

D. A federally certified nursing home shall:

(1) Encode assessment data as specified in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Userís Manual; and

(2) Transmit assessment data as specified in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Userís Manual except as excluded in §E of this regulation.

E. A nursing home licensed as a nursing home but not certified for participation in the Medicare or Medicaid Program shall comply with the CMS Manual System, Pub. 100-07 State Operations Provider Certification, and with RAI instructions in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Userís Manual, except that data may not be submitted electronically to the Department.