Rule 23-207-2.9 - Resident Assessment Instrument (RAI)A. Nursing facilities must complete the Minimum Data Set (MDS) 3.0, including Section S, which is the Resident Assessment Instrument (RAI) specified by the Division of Medicaid and approved by the Centers of Medicare and Medicaid Services (CMS), on all residents regardless of source of payment.B. Section S identifies beneficiaries residing in an Alzheimer's/dementia care unit of a nursing facility which must be completed on all residents during the specified time period of each of the following MDS assessments including, but not limited to: 1. Comprehensive (NC) which includes: c) Significant Change in Status Assessment (SCSA), andd) Significant Correction to Prior Comprehensive Assessment (SCPA),2. Prospective Payment System (PPS),4. Significant Correction to Prior Quarterly Assessment (SCQA),5. Entry Tracking Record (NT),6. Death in Facility Tracking Record (NT),7. Discharge Assessment - Return not anticipated (ND), and8. Discharge Assessment - Return Anticipated (ND).C. Nursing facilities cannot indicate in Section S that a resident has received care in an Alzheimer's/dementia care unit if the nursing facility does not have a designated Alzheimer's/dementia care unit. The fourteen (14) day look-back period cannot include:1. A resident's hospital stay in a geriatric psychiatric unit, or2. An Alzheimer's/dementia care unit stay in another nursing facility.D. The RAI must be completed in accordance with the most current CMS Long-Term Care Facility Resident Assessment Instrument User's Manual and the Division of Medicaid's requirements as follows:1. An Admission Assessment, which is a comprehensive assessment, must be completed by the fourteenth (14th) calendar day of the resident's admission.2. An Annual Assessment, which is a comprehensive assessment, must be completed within three hundred sixty-six (366) calendar days of the previous assessment reference date for an OBRA comprehensive and ninety-two (92) calendar days of the previous assessment reference date for an OBRA Quarterly assessment.3. A Significant Change in Status Assessment, which is a comprehensive assessment, must be completed by the fourteenth (14th) calendar day following the determination that a significant change has occurred.4. A Quarterly Assessment, which is a non-comprehensive assessment, must be completed no less than eighty (80) calendar days and no more than ninety-two (92) calendar days from the previous assessment reference date.5. A Significant Correction to Prior Comprehensive Assessment must be completed no later than the fourteenth (14th) calendar day following the determination that a significant error in a prior comprehensive assessment has occurred.6. A Significant Correction to Prior Quarterly Assessment, which is a non-comprehensive assessment, must be completed no later than fourteen (14) days following the determination that a significant error in a prior quarterly assessment has occurred.23 Miss. Code. R. 207-2.9
42 U.S.C. §§ 1395i-3, 1396r; 42 C.F.R. §§ 483.20, 483.315; Miss. Code Ann. §§ 43-13117, 43-13-121.Revised to correspond to MS SPA 15-004 (eff. 01/01/2015); Amended 7/1/2015