Provider Notice issued 08/24/16

Minimum Data Set (MDS) 3.0 Section S Changes Effective October 1, 2016

To: Long Term Care Facilities - Nursing Facilities (NF)
Date: August 24, 2016
Re: Minimum Data Set (MDS) 3.0 Section S Changes Effective October 1, 2016

This notice is to provide guidance on revisions made to Section S of the Minimum Data Set (MDS). Section S is the State defined section of the MDS 3.0. Completion of Section S is required for each MDS submittal. The Section S item changes outlined below will be effective October 1, 2016. The revised Section S Form and State-Defined Section S Reference Manual may be found on the Long Term Services and Supports (LTSS) webpage.

The following items were added to Section S:

New Item: S1004 Resident had a disease process or condition that has been reported to the appropriate local/state health department since the last assessment.

0. No                  1. Yes

New Item: S1150 Resident has an active diagnosis of Traumatic Brain Injury (TBI) and meets the care and service requirements (defined in Ill. Adm. Code 147.335 b) and is eligible for the TBI add-on.

0. No                   1. Yes

New item: S3310 Resident Received therapy services (i.e., PT, OT, ST) during the 7-day look back and these services were billed to the following: (check all that apply or check box “Z”).
A) Medicare Part A
B) Medicare Part B
C) Managed Care Entity
D) Medicaid
Y) Other (i.e. private pay, private insurance, etc.)
Z) None of the above.

New Item: S3315A Resident has an active diagnosis of COPD and received one or more of the following during the 7-day look back (check all that apply or check box “Z”).
A) Oxygen
B) Inhaler/Nebulizer
C) Acute monitoring of Respiratory Status
D) Medications for treatment of COPD or related respiratory symptoms
E) Other (i.e. hospital/ER visit related to COPD symptoms, CXR, other medical interventions)
Z) None of the above.

New Item: S6052 Resident required isolation procedures and was assigned a private room and did not leave the room except for medical treatments/procedures.
Note: If yes entries S5053A and S6053B must contain start/end dates.

0. No                   1. Yes

New Item: S6053A. Resident met the isolation requirements-Start Date

New Item: S6053B. Resident met isolation requirements-Stop Date

New Item: S6232. Is the resident currently receiving an antipsychotic medication?

0. No                   1. Yes

New Item: S6234 Has an attempt been made to reduce the total amount of antipsychotic medication the resident receives since the Assessment Reference Date (ARD) of the last Omnibus Budget Reconciliation Act (OBRA) assessment or if this an admission assessment, since the entry date (A1600)?

0. No                   1. Yes

New Item: S6236. Was the reduction in the total amount of antipsychotic medication that the resident received maintained?

0. No                   1. Yes  

The following items were not changed:

NO CHANGE: S0161 A-D or Z. Resident required the services and resided on a specialized unit during the last 14 days.

NO CHANGE: S0600A-E or Z. Resident has met the criteria identified and is eligible for enhanced Medicaid reimbursement.

NO CHANGE: S1200 Primary and secondary serious mental illness (SMI) Diagnosis.
A) Schizophrenia
B) Delusional Disorder
C) Schizoaffective Disorder
D) Psychotic Disorder not otherwise specified
E) Bipolar Disorder I - Mixed, Manic and Depressed
F) Bipolar Disorder II
G) Cyclothymic Disorder
H) Bipolar Disorder not otherwise specified
I) Major Depression, recurrent.

Questions regarding this notice may be directed to the Bureau of Long Term Care toll free at 1-844-528-8444.

Felicia F. Norwood
Director