Provider Notice issued 10/17/13

MDS 3.0, Section S Changes Effective October 1, 2013

 This notice is to provide guidance on revisions made to Section S of the Minimum Data Set (MDS) 3.0. Section S is the State defined Section of the MDS 3.0. Completion of Section S is required for each MDS submittal. Effective October 1, 2013, all items in Section S have either been removed or revised as outlined below.

• New item S0600-Resident has met the criteria identified and is eligible for enhanced Medicaid Reimbursement. The item responses include: a) Resident requires the use of a ventilator for a minimum of 10 hours in a 24 hour period b) Resident requires the use of a ventilator for a minimum of 16 hours in a 24 hour period c) Resident meets the criteria and is receiving services under Traumatic Brain Injury-Tier I d) Resident meets the criteria and is receiving services under Traumatic Brain Injury-Tier II e) Resident meets the criteria and is receiving services under Traumatic Brain Injury-Tier III z) None of the above.

• New item S0161 A-D, Z-Resident required the services and resided on a specialized unit during the last 14 days. The item responses include: a) Dementia/Alzheimer Unit b) Behavioral Health Unit c) TBI unit d) Ventilator Unit z) None of the above.

• Altered item S1200A-Primary and secondary SMI diagnosis: Schizophrenia. The item responses include: 1) Primary 2) Secondary 3) Neither primary or secondary.

• Altered item S1200B-Primary and secondary SMI diagnosis: Delusional disorder. The item responses include: 1) Primary 2) Secondary 3) Neither primary or secondary.

• Altered item S1200C-Primary and secondary SMI diagnosis: Schizoaffective disorder. The item responses include: 1) Primary 2) Secondary 3) Neither primary or secondary.

• Altered item S1200D-Primary and secondary SMI diagnosis: Psychotic disorder not otherwise specified. The item responses include: 1) Primary 2) Secondary 3) Neither primary or secondary.

• Altered item S1200E-Primary and secondary SMI diagnosis: Bipolar disorder I mixed, manic, and depressed. The item responses include: 1) Primary 2) Secondary 3) Neither primary or secondary.

• Altered item S1200F-Primary and secondary SMI diagnosis: Bipolar disorder II. The item responses include: 1) Primary 2) Secondary 3) Neither primary or secondary.

• Altered item S1200G-Primary and secondary SMI diagnosis: Cyclothymic disorder. The item responses include: 1) Primary 2) Secondary 3) Neither primary or secondary.

• Altered item S1200H-Primary and secondary SMI diagnosis: Bipolar disorder not otherwise specified. The item responses include: 1) Primary 2) Secondary 3) Neither primary or secondary.

• Altered item S1200I-Primary and secondary SMI diagnosis: Major depression, recurrent. The item responses include: 1) Primary 2) Secondary 3) Neither primary or secondary.

The guidance for completion of Section S items can be found on the HFS Long Term Care 2013 Provider Notices web page.

Any questions regarding this notice may be directed to the Bureau of Long Term Care at 217-524-7245.

Theresa A. Eagleson, Administrator

Division of Medical Programs

• MDS 3.0 Section S (pdf)