Section S: State of Maine Specific Items / Special Projects

Section S Intent:

Maine uses Section S to document location of the resident’s last community address. This link will take you to Maine's Section S Manual.

>Access the Maine MDS Submission Mangement Sytems (SMS) for validation reports.

Select the topic to view or close the training information.

RAI Manual for MDS 3.0

SECTION S IS RESERVED FOR ADDITIONAL STATE-DEFINED ITEMS. THERE IS NO SECTION S IN THE FEDERAL MDS VERSION 3.0 ITEM SET. YOUR STATE MAY CHOOSE TO DESIGNATE A SECTION S. (CMS Resident Assessment Instrument (RAI) Manual, Chapter 3) The following link will bring you to Section S: State of Maine Specific Items.

link icon Link to the RAI Manual

MDS 3.0 Forms (Resident Assessment & Care Screening All Item Listing)

This link will bring you to Section S: State of Maine Specific Items.

link icon Link to MDS 3.0 Item Subset forms

MDS 3.0 Coding Training Section

instructor guides iconInstructor Guides

 

 

presentation iconPresentation Slides

 

 

handouts iconSupplemental Training Handouts

 

 

youtube iconTraining Videos

 

For more training videos, this link will take you to a list of MDS 3.0 videos on YouTube; it is filtered by date. Beginning at the top, you can view the most videos that have been uploaded on the subject of MDS 3.0. Please note that several of the videos have been uploaded by CMSHHSGOV. While there are many videos on this YouTube channel, the videos posted by CMS would be most recommended by the State of Maine as this is the primary source of guidance on the MDS 3.0 from CMS.

Some things, such as interview techniques have not changed since the implementation of MDS 3.0 in 2011, other sections may not have current information.

CAAs and CATs

Text

link icon Link to CAAs and CATs material

Responses_Region

Case Mix

checklist iconLong Term Care facilities receive reimbursement through two government programs: Medicare and MaineCare. Both programs reimburse Long Term Care facilities based on measures of the intensity of care and services required for each resident. Case Mix refers to the aggregate level of services and care needed by all the residents of a Long Term Care facility.

link iconLink to Case Mix Manuals

Medicare reimbursement is based on a category-based classification system called Resource Utilization Group IV (RUG-IV). Certain responses on the MDS 3.0 determine assignment of a resident to a RUG-IV group. Medicare reimbursement guidelines are the same all across the country.

Medicaid reimbursement rules and guidelines differ from state to state. Currently Maine's Medicaid program (called MaineCare) uses a Case Mix system that differs from the Medicare system.

CMS does not require the completion of C0600 and C0700. However, the State of Maine does require these items to be completed in order to calculate Case Mix payment.

casemix_region

link iconLink to MDS 3.0 Item Subset (10/01/2018)