HF 3652

as introduced - 85th Legislature (2007 - 2008) Posted on 12/15/2009 12:00am

A bill for an act
relating to health; changing provisions for nursing facility case mix
classifications; amending Minnesota Statutes 2006, section 144.0724, subdivision
7.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2006, section 144.0724, subdivision 7, is amended to
read:

Subd. 7.

Notice of resident reimbursement classification.

(a) deleted text begin A facility must elect
between the options in clauses (1) and (2) to provide notice to a resident of the resident's
case mix classification.
deleted text end

deleted text begin (1) deleted text end The commissioner of health shall provide to a nursing facility a notice for
each resident of the reimbursement classification established under subdivision 1. The
notice must inform the resident of the classification that was assigned, the opportunity
to review the documentation supporting the classification, the opportunity to obtain
clarification from the commissioner, and the opportunity to request a reconsideration of the
classification. The commissioner must deleted text begin send deleted text end new text begin transmit the new text end notice of resident classification
by deleted text begin first class mail deleted text end new text begin electronic means to the nursing facility new text end . A nursing facility is responsible
for the distribution of the notice to each resident, to the person responsible for the payment
of the resident's nursing home expenses, or to another person designated by the resident.
This notice must be distributed within three working days after the facility's receipt of the
new text begin electronic file of new text end notice new text begin of case mix classifications new text end from the commissioner of health.

deleted text begin (2) A facility may choose to provide a classification notice, as prescribed by the
commissioner of health, to a resident upon receipt of the confirmation of the case mix
classification calculated by a facility or a corrected case mix classification as indicated on
the final validation report from the commissioner. A nursing facility is responsible for
the distribution of the notice to each resident, to the person responsible for the payment
of the resident's nursing home expenses, or to another person designated by the resident.
This notice must be distributed within three working days after the facility's receipt of the
validation report from the commissioner. If a facility elects this option, the commissioner
of health shall provide the facility with a list of residents and their case mix classifications
as determined by the commissioner. A nursing facility may make this election to be
effective on the day of implementation of the revised case mix system.
deleted text end

deleted text begin (3) After implementation of the revised case mix system, a nursing facility shall
elect a notice of resident reimbursement classification procedure as described in clause
(1) or (2) by reporting to the commissioner of health, as prescribed by the commissioner.
The election is effective July 1.
deleted text end

(b) If a facility submits a correction to the most recent assessment used to establish
a case mix classification conducted under subdivision 3 that results in a change in case
mix classification, the facility shall give written notice to the resident or the resident's
representative about the item that was corrected and the reason for the correction. The
notice of corrected assessment may be provided at the same time that the resident or
resident's representative is provided the resident's corrected notice of classification.