Revised NYS Medicaid CHHA Grouper - 2013 rebasing

(Point Scale to Determine Clinical and Functional Groups)

Item Item Number OASIS-C Response Level: 0 Response Level: 1 Response Level: 2 Response Level: 3 Response Level: 4 Response Level: 5
Dx of Diabetes M1020/M1022 0 3
Dx of Dementia M1020/M1022 0 9
Dx of HIV M1020/M1022 0 9
Bowel Incontinence M1620 0 4 4 7 12 28
Urinary Incontinence M1610 0 1 0
Dress Upper M1810 0 3 8 15
Dress Lower M1820 0 6 10 10
Toilet M1840 0 3 7 7 7
Transfer M1850 0 0 2 2 10 10