Step-by-Step Coding Guide for Section A0410: Unit Certification or Licensure Designation

1. Consult Nursing Home Administration:

   • Action: Engage with the nursing home administrator or their representative.
   • Objective: Determine which units are Medicare-certified, Medicaid-certified, or dually certified (Medicare/Medicaid).

2. Identify Non-Certified Units:

   • Action: In cases where units are not Medicare or Medicaid certified, inquire about state licensure.
   • Objective: Establish if there are units that are state-licensed and whether the state mandates MDS submission for residents in these units.

3. Determine Non-Certified and Non-Licensed Units:

   • Action: Identify any units that lack state certification or licensure.
   • Objective: Ensure all unit statuses are accurately accounted for in the MDS.

The Step-by-Step Coding Guide for item A0410 in MDS 3.0 Section A is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Please note that healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.