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DD Screening Document Codebook

DD Screening Document Codebook

Requesting RSC scenarios

Page posted: 6/26/19

Page reviewed:

Page updated: 9/27/19

Overview

This page contains sequencing charts for when a person is:

1. Living in a hospital, regional treatment center (RTC), nursing facility (NF) or intermediate care facility (ICF/DD) and requesting relocation service coordination (RSC) (fewer than six months since last in-person assessment)

2. Living in a hospital, RTC, NF or ICF/DD and requesting RSC (more than 6 months since last in-person assessment)

Note

MMIS automatically routes some documents to DHS to review. Lead agencies are no longer required to route documents manually to DHS.

Additional resources

DD Screening Document Codebook – Scenarios
CBSM – Relocation service coordination (RSC)

1. Scenario: Living in a hospital, RTC, NF or ICF/DD and requesting RSC (fewer than six months since last in-person assessment)

County/tribal nation-entered fields

1st sequence

(23) Action date

Service change date

(24) Action type

03

(41) Current services

19, 51, residential code, other

(42) Planned services

As appropriate

(46) Final action planned

Corresponds with field 42 planned services

(47a) Assessment result

16 – Facility stay

(47b) Exit reason

N/A

(48) Effective date

RSC start date

(49) Current Medical Assistance (MA) program

00, 04 or 05

NF begin and through dates

NF admission date; delete any other dates

Time-limited payment

Y for NF admission; otherwise, N

Payment authorized

01, 02, 04 or 07

Case manager comments

Comments as needed

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2. Scenario: Living in a hospital, RTC, NF or ICF/DD and requesting RSC (more than six months since last in-person assessment)

County/tribal nation-entered fields

1st sequence

(23) Action date

In-person assessment date

(24) Action type

01

(41) Current services

51, residential code, other

(42) Planned services

As appropriate

(46) Final action planned

Corresponds with field 42 planned services

(47a) Assessment result

16 – Facility stay

(47b) Exit reason

N/A

(48) Effective date

RSC start date

(49) Current MA program

00, 04 or 05

NF begin and through dates

NF admission date; delete any other dates

Time-limited payment

Y for NF admission; otherwise, N

Payment authorized

01, 02, 04 or 07

Case manager comments

Comments as needed

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