Home Care Rate Cell Risk Score Sample Clauses

Home Care Rate Cell Risk Score. The STATE will determine PCA/PDN home care Enrollee risk scores by utilizing information contained in the MnDHO LTCC approved screening document, and information regarding complex health care needs as defined by the PCA Assessment and Service Planning Instructions form (DHS #3244) and pursuant Minnesota Statutes, § 256B.0659 subd. 4 (c). The “complex health care related needs” information for all relevant Enrollees is to be submitted by the MCO in an Excel spreadsheet by December 5, 2009; March 5, 2010; June 5, 2010; and September 5, 2010. If any Enrollee does not have an approved LTCC screening document in MMIS, that Enrollee will not be included in the aggregate risk score calculation for that time period. The risk adjustment development methodology for used in the risk adjustment calculations for the home care rate cell population are described in IV (B) “Long Term Care Capitation Risk Adjustment for Minnesota Disabilities Health Options.”
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