Ask the Experts

Ask the expert: PPS assessments

Q: Is there a mandated plan from CMS to complete PPS assessments on managed care residents?  If so what is the plan and initiation date?

 

A:  According to the CMS Open Door Forum call on 5/7/14,  there will be requirements very soon, but they do not have details yet.  However, your contract with the managed care plan may specify that you need a RUG score or you may be asked for one by the managed care organization in lieu of a contract.