Effective 10/01/2023
|
MDS 3.0 Items that must be added to the CMS NH Quarterly for WA State: |
|
|---|---|
|
Section E - Behavior |
Assists in updating Care Plans |
|
Section F- Preferences for Customary Routine and Activities |
Assists in updating Care Plans |
|
H0200B – Urinary Toileting Program: Response |
Required for Home and Community Services analysis updates |
|
H0600 – Bowel Patterns |
Required for Home and Community Services analysis updates |
RUG IV Weights for MDS 3.0 - Grouper 57, Index Maximizing
Case Mix Weights for Washington State Grouper 57 Effective 6/24/2015
HIV/STD Information
Washington State does not allow collection of HIV/STD information. The following ICD-9 codes will be blocked if submitted on a MDS:
| ICD9 CODE | ICD9 DESCRIPTION |
|---|---|
| 042 | Human immunodeficiency virus [HIV] disease |
| 054.1 | Genital herpes |
| 079.51 | Human T-cell lymphotrophic virus, type I [HTLV-I] |
| 079.52 | Human T-cell lymphotrophic virus, type II [HTLV-II] |
| 079.53 | Human immunodeficiency virus, type 2 [HIV-2] |
| 079.59 | Other specified retrovirus |
| 097.9 | Syphilis, unspecified |
| 099.0 | Chancroid |
| 099.1 | Lymphogranuloma venereum |
| 099.2 | Granuloma inguinale |
| 099.4 | Other nongonococcal urethritis [NGU] |
| 099.8 | Other specified venereal diseases |
| 099.9 | Venereal disease, unspecified |
| 795.71 | Nonspecific serologic evidence of human immunodeficiency virus [HIV] |
| V02.7 | Gonorrhea |
| V08 | Asymptomatic human immunodeficiency virus [HIV] infection status |
Section Q: Referral to Local Contact Agency
The Local Contact Agency (LCA) is the HCS field office in your area. Find your Local Contact Agency