DiraChart MDS item reference

Q0620Section Qv1.20.1Manual page Q-25

Reason Referral to Local Contact Agency (LCA) Not

Made (cont.)

Quick coding

Answer Codes

Use the item-specific response choices below when structured codes apply.

Response format: Coded response
4

Discharge date 3 or fewer months away

if the resident has an expected discharge date of three (3) months or fewer, has an active discharge plan in
progress, and the discharge plan could not be improved upon with a referral to the LCA.

5

Discharge date more than 3 months away

if the resident has an expected discharge date of more than three (3) months and discharge plan is actively in
progress.

Item-specific instructions

Coding Guidance

Review what the item asks, how to choose the response, and what should be verified before submission.

RAI Manual v1.20.1

Steps for Assessment

1. If Q0610: Referral = 0, No, indicate the primary reason that the referral has not been made to
the LCA.

Manual page Q-25
RAI Manual v1.20.1

Coding Instructions

for Q0620, Reason Referral to Local Contact
Agency (LCA) Not Made

Code 1, LCA unknown

Code 2, Referral previously made: if a referral has previously been made to the
LCA, which is currently working with the resident and facility staff on an active
discharge plan to return to the community.

Code 3, Referral not wanted: if the resident (or family, significant other, legal
guardian, or other legally authorized representative only if resident doesn’t understand or
is unable to respond) responded they do not want a referral (Q0500B = 0).
Q0620: Reason Referral to Local Contact Agency (LCA) Not
Made (cont.)

Code 4, Discharge date 3 or fewer months away: if the resident has an
expected discharge date of three (3) months or fewer, has an active discharge plan in
progress, and the discharge plan could not be improved upon with a referral to the LCA.

Code 5, Discharge date more than 3 months away: if the resident has an
expected discharge date of more than three (3) months and discharge plan is actively in
progress.

Manual page Q-25
MDS item matrix

Assessment Applicability

See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.

13 relationships5 groups
Official CMS source

Verify in the CMS Source

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SourceCMS MDS 3.0 RAI Manual v1.20.1
Effective2025-10-01
Mapped locationManual page Q-25
Reference details

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