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... based on the person’s most recent Minnesota case mix rating. What service codes are included in this ... the tiered rate methodology requires the person’s case mix. The MnCHOICES assessment determines the person’s case ...
Description: This page provides information for counties and tribal nations about the shift of family residential (FRS) and life sharing services from a DWRS framework rate to a tiered rate based on the person’s most recent Minnesota case mix rating.
Date: January 26, 2026
... 2026: 6.013% increase to AC and EW case mix budgets. 6.013% increase to EW 24-hour Customized Living and Customized Living case mix budgets. This is on a rolling basis as ...
Description: Instructions for counties, tribal nations and managed care organizations for the Jan. 1, 2026, MMIS system update.
Date: December 30, 2025
... ethnicity, age composition, living arrangement, and residential location • Case mix status (low-need vs. high-need) 55 • Professional ... 55 See section 2.42 for details on case mix is determined and level of need is defined. ...
Description: 2024 Minnesota Medicaid Managed Care Comprehensive Quality Strategy
Date: May 30, 2024
... E.1.1 Demographics ................................................................... ......................................................... 13 E.1.2 Case Mix and Functional Limitations .................................................................. .......................17 E.2 Service Use ... to 44% in 2019. Health and Functional Conditions Case-Mix - The AC participants showed a downward trend in ...
Description: Minnesota’s Reform 2020 Section 1115 Demonstration Waiver - Alternative Care Program: Report June 2021
Date: May 31, 2024
... ethnicity, age composition, living arrangement, and residential location • Case mix status (low-need vs. high-need) 8 • Professional ... 8 See section 2.42 for details on case mix is determined and level of need is defined. ...
Description: Attachment B Proposed Evaluation for Reform 2020 Section 1115 Demonstration Waiver
Date: May 09, 2024
... reassessment, or they are otherwise reassessed, and their case mix classification changes, their budget amount will be adjusted. ... must be managed within the individual’s maximum case mix amount that is set by the state. These ...
Date: November 17, 2025
... 2023 ................................22 E.2. Demographics ...................................................................... ............................................................ 23 E.3. Case-Mix, Functional Limitations, and Professional Conclusions ....................................................28 E.4 ... to 35% in 2023. Health and Functional Conditions Case-Mix - The AC participants displayed discernable trends in case- ...
Description: Minnesota’s Reform 2020 Section 1115 Demonstration Waiver Alternative Care Program: April 2024 Interim Report
Date: May 31, 2024
... 020 Standardized resident days 9.030 Allowable historical case mix operating cost per diem 9.040 Allowable historical ... of Operating Cost Payment Rate 11.010 Nonadjusted case mix and other care-related payment rate 11.020 ...
Description: 26-05 Draft State Plan Amendment
Date: December 08, 2025
... 020 Standardized resident days 9.030 Allowable historical case mix operating cost per diem 9.040 Allowable historical ... the nursing component varies with a resident's case mix. 2. Resident days and nursing care costs are ...
Description: 17-01 Approved State Plan Amendment
Date: June 23, 2017
... 020 Standardized resident days 9.030 Allowable historical case mix operating cost per diem 9.040 Allowable historical ... of Operating Cost Payment Rate 11.010 Nonadjusted case mix and other care-related payment rate 11.020 ...
Description: 16-04 Approved State Plan Amendment
Date: November 16, 2016