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State explains how acuity points convert to hours and how HMA, PDN and CNA totals will be reconciled
Summary
OCL staff walked stakeholders through how the nurse-acuity tool converts task points into hours for private duty nursing, long-term home health and certified nursing assistant tasks, clarified that HMA totals combine those outputs, and described how case managers can request deviations.
Colorado officials walked attendees through how the skilled-care acuity tool converts assessment points to recommended hours and addressed operational questions about overlap, additional considerations and how case managers can adjust recommendations.
Key conversions and logic
- Private duty nursing (PDN): OCL said each final PDN point in the tool equals 15 minutes of care. - Long-term home health nursing visits: the tool produces visit-based outputs; OCL said an initial skilled nursing visit is assumed to be 2.5 hours and the tool calculates visits per day rather than a pure time-per-task figure. - Certified nursing assistant (CNA) tasks and modifiers: the CNA tab includes three sections — CNA tasks (bathing, dressing, toileting, transfers, etc.), modifier A (communication/cooperation and neuromuscular issues) and modifier B…
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