Re: MDS

[Delores234]

Our surveyors in CA cannot tell you that there is a State regulation or requirement for MDS.  We have no State Requirements for MDS outside of the fact that CA 'agreed' to use the OBRA requirements after we sued HCFA because CA thought we did not have to follow the Federal requirements.   HCFA finally told CA that they had to comply, we were so close to the implementation date in 1991 that the state just said OK, use the forms and instructions from HCFA.   Definitely not a technical explanation--but close enough.  You can and should hold our State surveyors or [in the case of LA County] County surveyors to the RAI Manual.  Do not be intimidated by them, they are weak on Federal requirements.   Delores   California -----Original Message----- From: Karen Berry [mailto:[EMAIL PROTECTED] Sent: Friday, April 16, 2004 9:04 AM To: [EMAIL PROTECTED] Subject: RE: MDS What state? The requirement is that the MDS be accessible. It does not specify in the chart. Many facilities have separate binders, which is not in conflict with the requirement. Obviously, the binders have to be in a secure location. -----Original Message----- From: Baker, Margaret (SNMH) [mailto:[EMAIL PROTECTED] Sent: Friday, April 16, 2004 11:13 AM To: '[EMAIL PROTECTED]' Subject: RE: MDS state also told us  MDS's must be kept in the charts.  A secretary had thinned a chart without my knowledge and had thinned out some MDS's into a file drawer next to the charts.  This was a no-no per surveyor. -----Original Message----- From: Dena Casey [mailto:[EMAIL PROTECTED] Sent