Category: Nursing Home Administrators

AHRQ ECHO National Nursing Home Covid-19 Action Network

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Missouri Nursing Homes-
Don’t miss out on your opportunity to earn $6,000 for your organization, while gaining practical, useful information, skills, and resources regarding Covid-19 in nursing homes. Join the AHRQ ECHO National Nursing Home COVID-19 Action Network, and connect with both specialists and peers to ask and answer immediate challenges your organization is facing during this challenging time.

Key Points:

  • Three cohorts of 35-40 organizations will be offered. You will select your preferred time slot upon registering your organization:
    • Session times will be:
      • Wednesdays- 1:30-3:00pm
      • Thursdays- 9:30-11:00am
      • Fridays- 1:00-2:00pm
    • Sessions will be closed once they reach 40 organizations.
  • Sessions are currently in process – Register Now!!
  • Sessions are 90 minutes, once a week, for 16 weeks (we will take the weeks of Thanksgiving, Christmas and New Year’s off).
  • You may have up to 4 staff members register for the ECHO.
  • Medicare/Medicaid certified nursing homes are eligible for $6000 in compensation.
    • Must complete attached documentation by the 4th session of the program.
    • Must have at least two staff members attend 13 out of the 16 sessions.

Register your organization at: https://app.hatchbuck.com/OnlineForm/2992654253.

Contact Lindsey Beckmann at beckmannli@health.missouri.edu with any questions.

COVID-19 LTC Bed Availability Portal

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The healthcare continuum is increasingly becoming strained with the number of positive cases across the state. This portal has been established to improve communication across the care continuum to assist in ensuring Missourians have access to the right care in the right setting. We are asking all long-term care communities to complete this brief survey each day by 9:00 AM beginning Wednesday, November 25th in order to identify available beds for potential admissions. Participation in the bed availability survey is voluntary. The survey may be accessed at https://arcg.is/1rjKy8. Once the initial submission is completed, each submitter will receive a link in order to update the bed availability information. If information does not change from day to day, the submitter can simply update the date and submit – the prior day’s information will populate.

The survey information will populate an accompanying dashboard that will be available to hospitals to use as a tool in finding placement for those patients who would be best served in a long-term care setting. This dashboard may be accessed at https://mophep.maps.arcgis.com/apps/opsdashboard/index.html#/f1e0745f93fe46b482d8ff4585f821bf.

 

To view instructions on utilizing the dashboard, click on ‘Instructions’ under the map for information.

HCBS COVID-19 Relief Funds Reimbursement COVID-19 Testing Expenditures – UPDATED

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DSDS has announced to Home and Community Based Services (HCBS) staff and stakeholders that a memorandum has been issued regarding an extension to the submission deadline for the COVID-19 Relief Funds (CRF) reimbursement.

Please refer to INFO 11-20-03 at the link provided below.
https://health.mo.gov/seniors/hcbs/infomemos.php

Any questions regarding this memorandum should be directed to Long Term Services and Supports via email at LTSS@health.mo.gov.

CDC Guidance and Updates

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The CDC has issued the following guidance:

Testing and Management Considerations for Nursing Home Residents with Acute Respiratory Illness Symptoms when SARS-CoV-2 and Influenza Viruses are Co-circulating

https://www.cdc.gov/flu/professionals/diagnosis/testing-management-considerations-nursinghomes.htm

  1. This guidance summarizes practices that should be considered when SARS-CoV-2 and Influenza viruses are found to be co-circulating based upon local public health surveillance data and testing at local healthcare facilities. While these considerations are specific to care of residents residing in nursing homes, some practices could be adapted for use in other long-term care settings (e.g. assisted living facilities).

 

The following COVID Healthcare IPC guidance has been updated:

  1. Guidance for SARS-CoV-2 Point-of-Care Testing
    1. This update includes minor revisions to the FAQ section.

Healthcare Staffing Agencies

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Health and Human Services (HHS) has provided a list of healthcare staffing agencies that can be considered to fulfill staffing needs. The list includes positions/facilities of focus for each agency including long-term care, nursing, aides, administrative, therapy, etc. Long-term care facilities are not required to utilize agencies on this list.

Please see this Healthcare Staffing Agencies list.

Free COVID-19 testing opportunities available throughout Missouri

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The State of Missouri continues to host community testing events throughout the state each week.

Missourians can register for these events currently scheduled at health.mo.gov/communitytest and also continue to check back for future opportunities to be tested at an event nearby.

Missouri residency is the only requirement; individuals do not have to live in the county in which they are tested, and they do not have to be experiencing symptoms. Any Missouri residents who wish to be tested with a self-administered nasal swab to determine if they have an active COVID-19 infection can do so at the specified sites in each region at no cost to the individual.

County

Location

City

Dates

Times

Madison

Cherokee Pass Volunteer Fire Department

Fredericktown

November 21

11AM – 3PM

Montgomery

Old Settlers Picnic Grounds

New Florence

November 21

11AM – 5PM

Howell

Lybyer Enhanced Technology Center

West Plains

November 30

11AM – 5PM

Saline

Saline County Health Department

Marshall

November 30

9AM – 5PM

Crawford

Cuba Knights of Columbus Hall

Cuba

December 1

12PM – 6PM

Clay

First United Methodist Church

Kearney

December 1

10AM – 6PM

Platte

Platte County Resource Center

Kansas City

December 2

10AM – 6PM

Greene

Ozark Empire Fairgrounds

Springfield

December 3-4

Dec. 3: 9AM – 7PM
Dec. 4: 7AM – 4PM

Gentry

Stanberry City Hall

Stanberry

December 4

11AM – 5PM

Jasper

Ozark Christian College

Joplin

December 5

10AM – 4PM

Buchanan

Aquatic Center

St. Joseph

December 5

8AM – 4PM

Register for testing at:
www.health.mo.gov/communitytest
or call (877) 435-8411

 

Surge Testing

Additionally, the U.S. Department of Health and Human Services (HHS) has also announced free COVID-19 surge testing that will continue each week in the following:

Columbia (Mondays, 10 a.m.-5 p.m.)
Branson (Tuesdays, 10 a.m.-5 p.m.)
St. Louis (Tuesdays and Wednesdays, 9 a.m.-5 p.m.)
Cape Girardeau (Thursdays, 10 a.m.-6 p.m.)
Lee’s Summit (Thursdays, 10 a.m.-6 p.m., and Fridays, 10 a.m.-5 p.m.)

Testing at these locations is available to individuals 5 years and older – including those experiencing symptoms; those who believe they may have been exposed to someone with COVID-19 coronavirus; and anyone who is worried about possibly having the virus. Individuals seeking testing do not need to be a resident of the community where these testing sites are located. Individuals under 18 years old must have a parent or legal guardian present to consent to testing.

Testing is expected to continue at the following locations for the remainder of this year. Individuals are encouraged to pre-register online at DoINeedaCovid19Test.com.

More information regarding COVID-19 in Missouri can be found at health.mo.gov/coronavirus.

Point of Care Antigen Reporting

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Effective Friday, November 13, 2020, Long-Term Care Facilities (SNF, ICF, ALF and RCF) that are reporting point of care antigen testing results into the NHSN portal, no longer need to duplicate that reporting via the DHSS secured file transfer.

At this time, DHSS asks that long-term care facilities report all positive staff and resident results, for POC and PCR testing, via the Electronic COVID-19 Case Reporting portal to ensure timely notification to DRL and DCPH for outbreak assistance.

DHSS is working on comprehensive guidance for all long-term care communities related to reporting requirements. If you have any questions related to this, please contact tracy.niekamp@health.mo.gov.

AHRQ ECHO National Nursing Home COVID-19 Action Network

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Project ECHO is actively recruiting nursing homes around the country to join an interactive community of practice to advance improvements in COVID-19 preparedness, safety and infection control.

Supported by the federal Agency for Healthcare Research and Quality (AHRQ), and in collaboration with the Institute for Healthcare Improvement (IHI), the AHRQ ECHO National Nursing Home COVID-19 Action Network is open to any Medicare or Medicaid-certified nursing home across the country at no cost.

The program matches nursing homes with local hospitals, QIOs and professional associations, who conduct weekly hour-long interactive learning and problem-solving sessions with the nursing homes over a four-month period. The mentor organizations also provide on-demand technical assistance to nursing homes in their cohort. Nursing homes receive a $6000 honorarium for participation in the program.

Please see the documents below for more info. Additional information may be found at AHRQ ECHO National Nursing Home COVID-19 Action Network.

Nursing Home HLAN FAQ
Nursing Home HLAN Info

For questions, or a list of mentor sites, please email: ECHOnursinghomes@salud.unm.edu.

 

Conversations with Carmen

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November 20, 2020: CHOICE: New Ideas to Enhance Resident Life in Tough Times
Guest: Linda Bump, MPH, RD, with Host Carmen Bowman

As we all struggle to get through these tough days, we each turn to things that give us comfort – in all areas of our lives. We relive great memories, try to maintain rituals that have meaning to us, and of course, food is always on the list. That’s what “comfort food” is all about, and it’s different for each person. All of this is just as true for your residents. The simple approach of knowing specifically what brings daily pleasure to each resident and honoring true choice for them can brighten their day – and brightening our residents’ lives is what brightens every committed caregiver’s day, too.

Perhaps the Covid-19 pandemic and resulting isolation has awakened in us something primal and universal: a deep interest in food. We see it everywhere. The explosion of cooking and culinary shows on television, Netflix and the internet, food blogs, recipe and cooking sites… We can bring that interest in food into our communities. Food is fascinating, so let’s find ways for residents to experience the food conversations happening everywhere, and perhaps add some new flavor to their days.

Outbreak Testing Data Reporting Changes

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Effective Friday, November 6, 2020, Long Term Care Facilities no longer need to submit the “Long Term Care Facility COVID-19 Testing Spreadsheets” to record outbreak testing via the Redcap portal. Rather than submitting individual resident and staff data to the Section for Long-Term Care Regulation, LTCF will use the same portal (the title will change to Long Term Care Facility COVID-19 Outbreak Testing Data Reporting) to report basic data elements for each testing cycle to include:

  • Facility identifying data
  • Date outbreak testing occurred
  • # of residents tested
  • # of staff tested

https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/professionals.php#collapseSix

For questions regarding outbreak testing and reporting, please contact your SLCR regional office  https://health.mo.gov/seniors/nursinghomes/pdf/LongTermCareRegions.pdf or tracy.niekamp@health.mo.gov.

Federal and State COVID-19 Vaccination Programs

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The Federal Government and the Missouri Department of Health and Senior Services have developed COVID-19 vaccination distribution programs and we strongly encourage you to enroll your community in both programs. The federal program focuses on residents and the Missouri program focuses on staff. Enrollment in both programs is essential to ensure residents and staff have access to the COVID-19 vaccine when the vaccine becomes available. Information about the programs, including the enrollment process is below. Please do not hesitate to reach out if you have any questions about either program.

 

Federal Pharmacy Partnership for Long-Term Care Program – Registration deadline TODAY, November 6
The national vaccine distribution program for long-term care residents.

To prepare for the availability of the COVID-19 vaccine, the federal government has partnered with pharmacies to distribute and administer the vaccine to residents in long-term care facilities. This program is free of charge and covers all of the reporting requirements associated with the vaccine.

Long-term care facilities (nursing homes, assisted living, residential care, adult day communities, ICF/IIDs and other congregate settings for older adults) have until Friday, November 6th to register with the CDC on how they want to receive and administer the COVID-19 vaccine when it becomes available. Federally certified nursing homes will be able to register through the National Healthcare Safety Network (NHSN) website, while other settings (assisted living, residential care, adult day communities and ICF/IIDs) can register at REDcap Sign-Up Form.

We strongly encourage all long-term care facilities to participate and register. This is critical to ensuring our vulnerable residents are among the first to receive a vaccine when it becomes available.

The documents below further explain the program.

Federal Pharmacy Partnerships Program_102620
LTCF Program Overview_Final

 

Missouri COVID-19 Program – Updated Information

In addition to the national vaccine distribution program for long-term care facility residents, the Department of Health and Senior Services has developed a vaccine distribution program for long-term care facility staff.

To accomplish facility staff vaccination there will be three scenarios. Facilities choosing scenario 1 or 2 – information regarding this enrollment process will be distributed in the near future.

  1. Partner with a local pharmacy to provide onsite vaccination of staff;
  2. Partner with a local public health agency to provide vaccine to staff either onsite or offsite; or
  3. Enroll as a COVID-19 vaccination provider using the process described below
  4. Must have to be able to store and administer vaccine (which may be ultra-cold temperatures and doses up to 975)
  5. Facilities will receive vaccine at no cost
  6. Vaccination supplies at no cost
  7. PPE for vaccination at no cost

 

Process for Enrolling as a COVID-19 Vaccination Provider

There is no deadline to enroll in the state COVID-19 vaccination program.

If you have further questions about the Missouri COVID-19 program, please email cv19vaxenroll@health.mo.gov.

NIOSH’s Second EHMR Federal Register Notice Webinar

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Wednesday, November 18, 2020 1:00 PM EDT – 2:00 PM EDT
NIOSH’s Second Elastomeric Half-Mask Respirator (EHMR) Federal Register Notice Webinar

Elastomeric half mask respirators (EHMRs) are reusable respirators that may be worn in a healthcare setting and supplement the supply of disposable respirators available to healthcare workers. The National Institute for Occupational Safety and Health (NIOSH)-in coordination with the Strategic National Stockpile-posted a Federal Register Notice (FRN) titled “A National Elastomeric Half Mask Respirator (EHMR) Strategy for Use in Healthcare Settings During an Infectious Disease Outbreak/Pandemic”.

Through this FRN, NIOSH is seeking input regarding the national distribution plan of purchased EHMRs, as well as identifying potential organizations interested in receiving a portion of these EHMRs with the commitment to provide a report of user acceptability and feasibility of implementation.

NIOSH is seeking organizations including, but not limited to:

  • Hospital systems, individual hospitals, and/or specific hospital units (i.e., emergency department, intensive care units)
  • Outpatient care settings (i.e., offices, clinics, home care, urgent care, rehab centers)
  • Long term care facilities
  • Dental practices
  • First responder organizations (i.e., police, fire, EMS)

To learn more about how your organization can participate in this effort, please join us for a webinar on November 18 from 1:00-2:00pm (ET). NIOSH will provide an overview of EHMRs, a summary of the FRN, expectations of potential participants, next steps, and answer any questions you may have. Registration for the webinar is here.

Certified Nurse Assistant Testing Changes for December 2020

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The Department of Health & Senior Services, Health Education Unit is pleased to announce the implementation of the new CNA testing process in December 2020.

We signed an agreement to work with Headmaster D&SDT, who will manage our CNA testing and registry.

We realize there will be many questions; we encourage you to view the Missouri Nurse Aide Competency and Evaluation Webinar to learn about the upcoming changes.

We have also scheduled several opportunities to attend Q & A sessions, hosted by DHSS & Headmaster D&SDT. Please see a list of upcoming Q & A sessions.

Note: We ask that you view the Missouri Nurse Aide Competency and Evaluation Webinar before attending the Q & A sessions.

Please feel free to call or email us with any questions.

DHSS Contact Information
Phone:        573-526-5686
Email:         cnaregistry@health.mo.gov
Website:    https://health.mo.gov/safety/cnaregistry/

Headmaster D&SDT Contact Information
Phone:        Testing Toll Free Phone: 888-401-0462
                       Registry Toll Free Phone: 888-401-0465
Fax:              406-442-3357
Website:    https://hdmaster.com/testing/cnatesting/missouri/MO_CNA_Home.htm

The Nursing Home COVID-19 Action Network ECHO

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The Nursing Home COVID-19 Action Network ECHO is kicking off the week of November 9, 2020 and you are invited to participate!

Medicare and/or Medicaid certified nursing homes that actively participate in the Network can receive up to $6,000 in compensation, along with free CME/CNE/LNHA credits for participating staff.

The Nursing Home COVID-19 Action Network ECHO will address the following goals:

  • Keep the virus from entering nursing homes where it has not entered
  • Identify residents and staff who have been infected with the virus early
  • Prevent the spread of the virus between staff, residents and visitors
  • Provide safe and appropriate care to residents with mild and asymptomatic cases
  • Ensure staff have the knowledge, skills and confidence to implement best-practice safety measures to protect residents and themselves
  • Reduce social isolation for residents, families, and staff during these difficult times

The Missouri Telehealth Network (MTN) at the University of Missouri is collaborating with the Agency for Healthcare Research and Quality (AHRQ), Project ECHO and the Institute for Healthcare Improvement (IHI) to advance improvements in COVID-19 preparedness, safety and infection control in nursing homes.

Our goal is to recruit up to 105 nursing homes to participate in this virtual community of practice, where nursing home staff can engage with experts and their peers and share cases for real-time discussion and advice.

MTN will be holding several informational webinars next week to explain the project in further detail, and to answer any questions the organizations may have. Below are links register for each of the webinars. After registering, you will receive a confirmation email containing information about joining the meeting.

 

 

If you are interested in learning more about this project, and are unable to attend any of the above, please contact Lindsey Beckmann at beckmannli@health.missouri.edu.

Nursing Level of Care Transformation for Home and Community Based Services

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A memorandum has been issued by the Division of Senior and Disability Services (DSDS) regarding Nursing Facility Level of Care Transformation for Home and Community Based Services (HCBS) staff and stakeholders. Refer to INFO-10-20-01 at the link provided below.

https://health.mo.gov/seniors/hcbs/infomemos.php

Any questions regarding this memorandum should be directed to LOCTransformation@health.mo.gov.

CARES Act Funding

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Updated – 10/26/2020

To: Residential Care Facilities, Intermediate Care Facilities, and Assisted Living Facilities

On October 7, 2020, Governor Parson announced $10 million in CARES Act funding to support assisted living, intermediate care, and residential care facilities with uncompensated necessary COVID-19 related expenses. These facilities may submit invoices to the Department of Social Services through an online portal located here https://apps.dss.mo.gov/LongTermCareCovid19Invoices/.

Providers must complete and submit an attestation located on the site.

Please note: Social Services has already been accepting and processing invoices for uncompensated COVID testing costs related to outbreaks and reopening requirements. This is a different, additional reimbursement process and you must complete the new attestation located on the site, in order to submit invoices for other uncompensated necessary COVID-19 related expenses.

If you do not submit the correct attestation, Social Services cannot process your invoice. Invoices must be received by November 15, 2020

QIPMO – A New CAT in Town

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*We’re hoping to gather some more information from this side of LTC, so if you could please fill out our survey so we can learn how to further help you, we’d appreciate it greatly – www.surveymonkey.com/r/CATCOVID.*

COVID-19 has changed our lives in so many ways. Life in long-term care will never be the same. QIPMO has been working with nursing homes in MO for over 20 years. During that time, it has grown from nurses helping guide MDS coordinators and DONs through the ever-changing landscape of long-term care. QIPMO now includes an administrator extension helping the facility’s NHA to navigate the administrative issues. The year 2020 will go down in history as one of the hardest years of our experience. We will come out on the other side stronger, but I am sure we will have horror stories to share as well as celebrations and accomplishments.

But there are other types of facilities that take care of the aging population. We’re talking Residential Care Facilities, Assisted Living Communities, and Independent Living Facilities. Who is there to help them? Never fear! QIPMO has now added yet another expansion service to help these communities – the CAT Team (COVID Accountability Team). For those who have been around the industry, the names will likely sound familiar: Sharon Thomas (retired QIPMO nurse) is covering survey regions 3, 4, and 5; Carol Siem (semi-retired QIPMO nurse) is covering regions 6 and 7; and the new kid on the block is Rob Siem (yep… Carol’s husband who is also a nurse – they’ve been together for 44 years and he understands long-term care) who will be covering regions 1 and 2. Please see this document for further details.

We are to help this group of facilities in navigating the reopening in these rough waters. Our contact information is:
Sharon Thomas – thomassg@missouri.edu
Carol Siem – siemc@missouri.edu
Rob Siem – rws266@missouri.edu

Just like QIPMO, we’re a free, non-regulatory, service to help answer questions!

Community Testing Opportunities

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The next round of community testing events will take place in the following counties. Additional events are expected to be scheduled throughout the coming weeks. Missourians can register now for these events at health.mo.gov/communitytest and also continue to check back for future opportunities to be tested at an event nearby.

County

Location

City

Dates

Times

Osage

Osage County Fairgrounds

Linn

October 26

8AM – 1PM

Howell

Lybyer Enhanced Technology Center

West Plains

October 27

12PM – 5PM

Cole

First Assembly of God

Jefferson City

October 27

9AM – 5PM

Phelps

Lions Club Den & Park

Rolla

October 28

2PM – 7PM

New Madrid

Public Safety Center

New Madrid

October 29

9AM – 1PM

Greene

Ozark Empire Fairgrounds

Springfield

October 30-31

Oct. 30 9AM – 7PM

Oct. 31 7AM – 4PM

Butler

Whitely Park

Poplar Bluff

October 30

9AM – 5PM

Miller

Eldon Community Center

Eldon

November 2

9AM – 2PM

Moniteau

Moniteau County Fairgrounds

California

November 4

9AM – 2PM

Shelby

Shelby County Fairgrounds

Shelbina

November 6

9AM – 2PM

Buchannan

Heritage Park Softball Complex

St. Joseph

November 7

7AM – 3PM

Scotland

Scotland County Health Department/ Home Health Agency

Memphis

November 7

9AM – 2PM

Register for testing at:
www.health.mo.gov/communitytest
or call (877) 435-8411

EMAIL SCAM ALERT

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The Missouri Board of Nursing Home Administrators (Board) office was contacted by administrators of a suspicious email requesting donations. The email was forged to appear that it came from this office.

The email that the Board office uses is BNHA@health.mo.gov. If you receive an email that looks unfamiliar, or asks you to do something unusual, or asks you to do something quickly, do not click on any links in the suspicious email and do not reply to the email sender. Please check with the Board office by forwarding the email to BNHA@health.mo.gov or call (573) 751-3511.

New Resource – Dementia Care

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The California Partnership to Improve Dementia Care has created six resource videos on the topic of COVID-19 and residents living with dementia.

  • Activities for Patients with Dementia: Creative Ideas During COVID-19
  • Coping and Stress Management During a Pandemic
  • COVID-19: Tips for Reducing Emotional Distress in Patients with Dementia
  • How to Reduce Wandering in Patients with Dementia
  • Optimizing Dementia Care in the Era of COVID-19
  • Optimizing Person Centered and Family Dementia Care in the Era of COVID-19

The videos are housed on the link below:
https://www.leadingageca.org/Members/Partners.

Community Testing Opportunities

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The next round of community testing events will take place in the following counties. Additional events are expected to be scheduled throughout the coming weeks. Missourians can register now for these events at health.mo.gov/communitytest and also continue to check back for future opportunities to be tested at an event nearby.

 

County

Location

City

Dates

Times

St. Charles

The Family Arena

St. Charles

October 16-17

Oct. 16 10AM – 6PM

Oct. 17 8AM – 4PM

Jasper

Missouri State Southern University

Joplin

October 16

10AM – 6PM

Benton

Benton County Health Department

Warsaw

October 17

12PM – 5PM

Jefferson

Hillsboro Civic Center

Hillsboro

October 20

10AM – 7PM

Wright

Tri-County Fairgrounds

Mountain Grove

October 20

9AM – 1PM

Washington

Washington County Ambulance District

Mineral Point

October 21

11AM – 5PM

Dallas

Buffalo Prairie Middle School

Buffalo

October 21

10AM – 2PM

Barton

Cash Savers Grocery Store Parking Lot

Lamar

October 22

1PM – 6PM

Cape Girardeau

Arena Park

Cape Girardeau

October 23

7AM – 5PM

Texas

Brushy Creek Park

Houston

October 23

10AM – 2PM

Register for testing at:
www.health.mo.gov/communitytest
or call (877) 435-8411

 

MDS Changes for 10-1-20

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Missouri opted to collect PDPM HIPPS codes on OBRA assessments with an ARD of 10/1/20 or later. This means that SNFs and NFs in Missouri need to complete additional items on OBRA assessments not combined with a Medicare assessment. Additional items include:

  • GG0130 Self-Care items;
  • GG0170 Mobility items;
  • I0020 and I0020B Primary Medical Condition items;
  • J2100 Recent Surgery item. If J2100 is checked yes, J2300-J5000 are to be completed.

Training: QIPMO provided a webinar on 9/21/20 where Stacey Bryan, Missouri’s State RAI Coordinator, went over MDS changes for 10-1-20. To view a recording of this webinar please go to https://nursinghomehelp.org/event/september-monthly-webinar/. Please note, the RAI Manual pages to review for examples of diagnoses in each medical condition category for item I0020 is I-2 and I-3, not I-12 which is referenced in the webinar.

FAQ Document: Below is a FAQ document concerning the MDS changes for Missouri this October. This document will be updated as needed. The date a question and answer is added to the document will be beneath each answer.

MDS FAQ Document for MO 10-16-20 version

If you have any questions about this information please contact Missouri’s State RAI Coordinator, Stacey Bryan, at Stacey.Bryan@health.mo.gov or 573-751-6308.