DiraChart MDS item reference
A0700Section Av1.20.1Manual page A-14
Medicaid Number
Item Rationale
Quick codingAnswer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Text entry
A0700 — Medicaid Number
Enter the value requested for this item using the current CMS text entry format. Verify the entry against Manual page A-14 and the supporting facility documentation.
Item-specific instructionsCoding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
RAI Manual v1.20.1Coding Instructions
•
Record this number if the resident is a Medicaid recipient.
•
Enter one number or letter per box beginning in the leftmost box.
•
Recheck the number to make sure you have entered the digits correctly.
•
Enter a “+” in the leftmost box if the number is pending. If you are notified later that the
resident does have a Medicaid number, just include it on the next assessment.
•
If not applicable because the resident is not a Medicaid recipient, enter “N” in the
leftmost box.
Manual page A-14RAI Manual v1.20.1Coding Tips
and Special Populations
•
To obtain the Medicaid number, check the resident’s Medicaid card, admission or
transfer records, or medical record.
•
Confirm that the resident’s name on the MDS matches the resident’s name on the
Medicaid card.
•
It is not necessary to process an MDS correction to add the Medicaid number on a prior
assessment. However, a correction may be a State-specific requirement.
Manual page A-14 MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
15 relationships5 groups+
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Annual / Sig Chg A=03, B=99, F=99, G=^, H=0 A= 04, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Discharge A=99, B=99, F=10, 11, G=1, 2, H=0
MDS Item Matrix v1.20.1 v4
Official CMS sourceVerify in the CMS Source
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Reference detailsDeeper help after the reference answer
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