by Proactive LTC Consulting | Nov 19, 2025 | Documentation, MDS, Medicaid, Nursing, PDPM, Quality, Regulatory, Reimbursement
Medicaid Case Mix Index Under PDPM: What LTC Facilities Need to Know As of October 1, 2025, the nationwide transition away from RUG-based Medicaid systems marks a major shift for long-term care. With more states moving to PDPM-based methodologies—and many... by Proactive LTC Consulting | Oct 15, 2025 | Care Planning, Compliance, MDS, Medicaid, Medicare, PDPM, Quality, Quality Measure, Reimbursement, Survey
Q: Your MDS Coordinator could come to you at any time needing an emergency medical leave, giving notice, or simply deciding that the role is no longer a good fit. What potential challenges could arise if you don’t have an experienced person to fill the position, and... by Proactive LTC Consulting | Oct 1, 2025 | Coding, Compliance, Depression, MDS, Medicaid, Medicare, Nursing, PDPM, Reimbursement
Q: I have recently been directed, when completing the PHQ-2 to 9, that if a resident acknowledges a symptom, but is unable to give a frequency, I should dash both questions (column 1 and 2). Is this correct? A: No, this is incorrect. If a resident answers “yes”... by Proactive LTC Consulting | Sep 17, 2025 | Compliance, MDS, Medicaid, Medicare, Nursing, Regulatory, Reimbursement
October 1, 2025 MDS Changes: What You Need to Know! CMS has released the RAI User’s Manual v1.20.1, effective October 1, 2025, with updates across multiple MDS sections. While Sections GG and J bring the most significant changes, every adjustment matters for... by Proactive LTC Consulting | Apr 16, 2025 | Coding, Compliance, Documentation, MDS, Medicaid, Medicare, Nursing
CMS has released the draft version of the MDS 3.0 RAI User’s Manual (v1.20.1), now available on the MDS 3.0 RAI Manual page. While the manual is still in draft form, the changes are significant and go into effect October 1, 2025. Facilities should begin planning now... by Proactive LTC Consulting | Feb 20, 2024 | ADL, CMI, MDS, Medicaid, Q&A
Q: We have a lot of residents on Scheduled Toileting. I’m worried we won’t get credit for them during our next CMI validation. What will I need to show our review nurse to receive credit? A: The RAI Manual MDS item H0200C, ‘Current Toileting...