Common use of MDS-HC Assessment Clause in Contracts

MDS-HC Assessment. The Contractor must complete MDS-HC assessments for its Enrollees as described below. The MDS-HC must be completed in-person by a registered nurse. Information collected on the MDS-HC must be sent to MassHealth via the MDS-HC application in the Commonwealth’s Virtual Gateway to ensure accurate assignment of Rating Categories. The Contractor must cooperate with and participate in any and all requests made by MassHealth for further information concerning any MDS-HC submission. The MDS-HC must be completed as follows: 1. For Enrollees assigned to the C1 Rating Category, the MDS-HC must be completed to change the Rating Category; 2. For Enrollees assigned to the C2 Rating Categories, including C2A and C2B, the MDS-HC must be completed within 6 months of the Enrollee’s Effective Enrollment Date into One Care, and at least annually thereafter; 3. For Enrollees assigned to the C3 Rating Categories, including C3A and C3B, the MDS-HC must be completed within 90 days of the Enrollee’s Effective Enrollment Date into One Care and at least annually thereafter; and 4. In order to change any Enrollee’s Rating Category to a Rating Category, other than the F1 Rating Category based on the Enrollee’s current residence in a long-term care facility for at least 90 days.