Enter the following information based on the MS-2126.
1. Complete the Facility Information Section.
1. In the Facility Information section, click Select to enter the Provider. The Select Provider Resource page displays.
2. Enter the Provider ID number located on the Active Nursing Facility (NF) List in the Provider ID field.
NOTE: If the Agency or Provider is not found or needs to be updated, see Requesting an Addition or Change to the Resource Databank.
3. Click the Search button.
4. Select the radio button next to the appropriate provider.
5. Click the Select button. The facility selected populates on the LTC Data Details page.
2. Complete or update the Facility Placement/Discharge section as appropriate.
1. Admission information
1. Select Yes in the Admission Information section. This will dynamically display the admission fields.
2. Enter the Admission Date.
3. Enter the Anticipated Length of Stay using Less than 30 days for temporary stays and 30 days or more for long term care and/or permanent stays.
4. Choose the appropriate selection from the Admitted From Drop down menu.
5. Enter or select the Previous Admission Date.
NOTE: The Admitted From and Previous Admission Date are used by KEES rules when the stay is 30 days or more to determine if there were days in the community and has a direct impact to if the independent living PIL or Institutional PIL is used in EDBC.
6. Choose the appropriate selection from the Current Level of Care in Your facility drop down menu.
7. Enter the Cost of Care.
1. If income is at or below 300% of the SSI one-person standard, enter $9,999.
2. If income is more than 300% of the SSI one-person standard, use the Nursing Facility Daily Rate (from MMIS or KDADS) times 31 as the Cost of Care.
3. If the facility is PRTF, enter $9,999 regardless of the income amount.
2. Discharge Information
1. Select Yes in the Discharge Information section if they have been discharged. This will dynamically display the discharge fields. Otherwise, leave blank (this includes if the coverage is closing due to death).
2. Choose the appropriate selection from the Discharge To field.
3. Enter or select the Discharge Date.
4. If the consumer was discharged to a facility or hospital, enter the name of the facility if known.
3. If allocating income, click the Add button to complete the Dependents of LTC/Applicant/Member or Dependents of Spouse block. See Income Allocation for more information.
4. Enter the Care Screening information provided from KDADS.
1. Select Yes or No for the Care Screening Met drop down menu.
2. Enter or select the date the Screening was completed.
NOTE: If the consumer is exempt from a CARE screening, enter yes and the date the consumer became exempt from the screening requirement. Record this information in the Journal.