"Missouri Medicaid Case Mix Review Process, Supportive Documentation Guidelines & Strategies for Success" Webinar

February 19, 2026
MHCA Members only - no charge

2-Part Webinar
Part 1: 10:00 - 11:00 a.m.
Part 2: 1:00 - 2:30 p.m. 


As Missouri nursing home providers continue to navigate increasing scrutiny around Medicaid reimbursement, the accuracy of your facility’s Medicaid Case Mix Index (CMI) has never been more critical. This comprehensive session is designed to equip leaders and interdisciplinary teams with the clarity, tools, and strategies needed to successfully prepare for remote Case Mix Reviews.

Part 1: Understanding the Missouri Medicaid Case Mix Review Process

The first half of this session will focus on how your Medicaid CMI directly impacts your reimbursement and how audit results could affect your Medicaid rates. Participants will gain a clear understanding of the current remote review process, including what reviewers expect and how facilities can prepare ahead of time to avoid disruptive and costly findings.

Key topics include:

• Web Portal Access
  How to access, prepare, and upload documentation efficiently through the designated portal.
• Scheduling of Case Mix Reviews
  What providers can expect from the scheduling process and how to plan proactively.
• Entrance Conference Forms
  Review of sample forms and overview of requirements for entrance conference.
• Patient Sample Selection
  How resident samples are chosen—and what this means for your internal documentation practices.

This section ensures that providers not only understand what is coming but are fully prepared to respond confidently and successfully, so that rates are not negatively impacted.

Part 2: Supportive Documentation Guidelines & Practical Strategies for Success

The second half of the session provides an in‑depth review of the Supportive Documentation Guidelines released in March 2024 for Missouri providers. These guidelines introduce requirements that differ from—or expand on—the RAI Manual, making it essential for providers to understand how to align their documentation accordingly.

Participants will receive actionable guidance on how to support care delivery through clear, accurate, and easily accessible documentation within the medical record. These strategies are designed to streamline compliance and ensure facilities are prepared long before a reviewer reviews supporting evidence.

Documentation topics will include how to support:

• Extensive Services case mix groups
• Special Care High case mix groups
• Special Care Low case mix groups
• Clinically Complex case mix groups
• Behavioral & Cognition case mix groups
• Section GG requirements for all MDS assessments

You will leave this session with practical, real‑world approaches to organizing clinical documentation, improving interdisciplinary coordination, and ensuring staff can readily locate required information during remote audits.

Who Should Attend

This session is highly recommended for:

• Administrators
• Directors of Nursing
• MDS Coordinators & Personnel
• Social Services Designees
• Any interdisciplinary team members involved in MDS completion or documentation support

Why Providers Should Register

With these precise documentation expectations, Missouri providers cannot afford to be unprepared for these reviews. This session will empower your team to:

• Strengthen documentation accuracy and accessibility
• Understand exactly how reviews impact your Medicaid rates
• Prevent avoidable audit findings
• Prepare staff for seamless participation in remote review processes
• Confidently navigate updated Missouri requirements and guidelines

Equip your facility with the knowledge and strategies needed to succeed—before your next review notification arrives. Let’s ensure your CMI accurately reflects the care your team provides and is clearly supported in your medical records.