Could there be another final check for Medicaid eligibility prior to calculating the semiannual score?
A4. Yes. An extra step will be added to the semiannual process to recheck the eligibility status of the record selected for the quarterly score prior to the calculation of the semiannual score. For the semiannual score effective July 1, this extra step would most likely only have an impact for the December quarter due to the short time frame between the deadline for calculating the case mix score for the March quarter and the deadline for calculating of the semiannual score. For the semiannual score effective January 1, this extra step would most likely only have an impact for the June quarter due to the short time frame between the deadline for calculating the case mix score for the September quarter and the deadline for calculating of the semiannual score. Q5. What if the resident is dual eligible and the Medicare assessment is combined with the initial or quarterly assessment. Will the record be included as a Medicaid assessment? If not included, what does the facility do to get the
Related Questions
- Can the State Medicaid agency designate another agency to make a final Medicaid eligibility determination?
- Could there be another final check for Medicaid eligibility prior to calculating the semiannual score?
- Why should a provider verify Medicaid eligibility on a recipient prior to rendering services?
