Case Mix for Washington State Medicaid Nursing Home Payment

Case Mix describes differences in residents within a population in terms of their physical and mental conditions and the resources that are used in their care.  Case Mix reimbursement systems measure the intensity of care and services required for each resident and translate those measures into groupings.  Those groupings are used in the calculation of facility payment.

Case Mix for Washington State Medicaid Nursing Home Payment

Case Mix Weights

Case Mix Accuracy Review (CMAR)

How to read a facility RUG Report

Business Rules for MDS payor source

MDS-WA Listserve Archive

State Law and WA Admin Code

State of Washington Contacts