All individuals applying to a Medicaid-certified NF must be screened both for mental illness and for intellectual disability. An individual who tests positive on both screens must undergo a Level II for mental illness and a Level II for intellectual disability.
If an individual is transferred from one NF to another NF, they need not be re-evaluated. If the individual is transferred from one NF to another with an intervening hospital stay (e.g., for inpatient psychiatric treatment), a new Preadmission Screen is not required.
No. It is illegal for NFs to perform a PAS or RR. The PAS must be performed before an individual is admitted to the NF, and must be conducted by parties unaffiliated with the NF.
Nursing facility (NF) is a term of art that refers to long-term care facilities certified by the state survey agency (SSA) to provide services to Medicaid recipients.
Whether PASRR applies depends entirely on the certification of the facility, and not on any fact about the individual who is applying for admission to that facility. If an individual is applying to a Medicaid-certified facility, PASRR must be administered before he or she can be admitted.
No. Some significant changes in status may have a dramatic impact on a resident's MI/ID status, while others may have little or no impact.
Recall that PASRR stands for "Preadmission Screening and Resident Review." By definition, PAS ("Preadmission Screening") must be performed before an individual is admitted to a Medicaid-certified nursing facility.
No. The Balanced Budget act of 1996 eliminated the requirement for annual resident review, specifying that reviews are required instead upon changes in condition.
A level II Preadmission Screen (PAS) must be completed for all applicants who meet NF level-of-care requirements, and who have been identified as having possible MI and/or ID by the Level I evaluation.
No federal requirement specifically addresses this issue. A Level II evaluation is required when there is a change in a resident’s condition. When a resident is returning from a hospital stay, there may be a clear change in condition.
Level II involves a comprehensive evaluation of ID/MI, and a determination of the need for specialized services.