<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".59" citation="COMAR 10.07.02.59" title_num="10" subtitle_num="07" chapter_num="02" heading="Resident Status Assessment.">
  <paragraph num="A.">
    <text>A nursing home shall use the following forms and procedures for resident assessment as described in the CMS Manual System, Pub. 100-07 State Operations Provider Certification and in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 User’s Manual:</text>
    <paragraph num="(1)">
      <text>The Minimum Data Set (MDS) version as determined by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, in Transmittal No. 22, referenced in §B of this regulation.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>MDS Care Area Assessment process; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Care plans.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The nursing home shall complete all assessments in accordance with the provisions of 42 CFR §483.20, as amended.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A nursing home certified for participation in Medicare or Medicaid shall complete and electronically submit the assessment to the Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system. The assessment shall:</text>
    <paragraph num="(1)">
      <text>Use a standard record layout format;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Use a data dictionary as identified by the automated data processing requirements; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Pass standardized edits as defined by CMS and the State.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A federally certified nursing home shall:</text>
    <paragraph num="(1)">
      <text>Encode assessment data as specified in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 User’s Manual; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Transmit assessment data as specified in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 User’s Manual except as excluded in §E of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>A nursing home licensed as a nursing home but not certified for participation in the Medicare or Medicaid Program shall comply with the CMS Manual System, Pub. 100-07 State Operations Provider Certification, and with RAI instructions in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 User’s Manual, except that data may not be submitted electronically to the Department.</text>
  </paragraph>
</regulation>