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DiraChart MDS item reference
Q0610ASection Qv1.20.1Manual page Q-22
Referral been made to local contact agency
This item is referenced against CMS MDS source materials. Verify coding against the current CMS RAI Manual, item set instructions, and facility documentation before submission.
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
1
Yes
Manual page Q-22Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Coding Instructions
for Q0610, Has a referral been made to the Local
Contact Agency (LCA)?
•
Code 0, No: if a referral has not been made.
•
Code 1, Yes: if a referral has been made. If a referral has been made skip to V0100.
Items From the Most Recent Prior OBRA or Scheduled PPS Assessment.
Q0610: Referral (cont.)
Coding Tips
•
State Medicaid Agencies (SMAs) are required to have designated LCA and a State point
of contact (POC). The SMA is responsible for coordinating implementation of Section Q
and designating LCAs for their State’s SNFs and NHs. These LCAs may be single entry
point agencies, Aging and Disability Resource Centers, Money Follows the Person
programs, Area Agencies on Aging, Centers for Independent Living, or other entities the
State may designate. LCAs have a Data Use Agreement (DUA) with the SMA to allow
them access to MDS data. It is important that each facility know who their LCA and POC
are and how to contact them.
•
Resource availability and eligibility varies across States and local communities and may
present barriers to allowing some residents to return to their community. The NH and
LCA staff members should guard against raising the expectations of residents and their
family members of what can occur until more information is obtained.
•
Close collaboration between the NH and the LCA is needed to evaluate the resident’s
medical needs, finances and available community transition resources.
•
The LCA can provide information to the SNF/NH on the available community living
situations, and options for community based supports and services including the level and
scope of what is possible.
•
The LCA team will explore community care options/supports and conduct appropriate
care planning to determine if transition back to the community is possible.
•
Resident support and interventions by the NH staff may be necessary if the LCA
transition is not successful because of unanticipated changes to the resident’s medical
condition, problems with securing appropriate caregiving supports, community resource
gaps, etc., preventing discharge to the community.
Q0610: Referral (cont.)
MDS item matrixAssessment Applicability
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Assessment Applicability
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