Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
Item Rationale
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
2 matrix group(s) are already attached for review on this item.
2 governed answer row(s) are attached for this item.
Item Rationale
Use this item when the facility is completing content tied to Section Z and needs to stay anchored to v1.20.1.
This page is grounded in CMS MDS 3.0 RAI Manual v1.20.1. Review the exact text and locators before treating the item as final reference content.
Used to capture the payment code in states that employ the MDS for Medicaid case-mix reimbursement.
If the state has selected a standard payment model, this item will usually be populated automatically by the software data entry product. Otherwise, enter the case-mix code calculated based on the MDS assessment.
If the state has selected a standard payment model, this item will usually be populated automatically by the software data entry product. Otherwise, enter the case mix version code in the spaces provided. This is the version code appropriate to the code in Item Z0200A. Coding Instructions for Z0200C, Is this a Short Stay assessment?
Code 0, no: if this is not a Short Stay assessment.
Code 1, yes: if this is a Medicare Short Stay assessment.
Coding Tip The standard RUG-IV grouper automatically determines whether or not this is a Short Stay assessment. MDS software typically makes this determination automatically.