Acute Care and Rehabilitation Hospitals – It is necessary for the hospital discharge planner to initiate the completion of the Level I PASRR Screening Tool for all discharges to a Medicaid certified NF.
NF Admissions from the Community – NF staff must coordinate the completion of the Level I PASRR Screening Tool for all admissions to a Medicaid certified NF.
NF Admissions for Respite Stay – Individuals being admitted to a Medicaid-certified NF for a county or state-approved respite stay can be exempt from the Level II evaluation and Determination utilizing Categorical Determinations. DMHAS and/or DDD must be contacted to apply the categorical determination.
Level 1 Outcomes:
- If the Level I is negative, then the individual can be admitted to the NF. A copy of the Level I must accompany the individual to the NF and must be placed on the active medical chart.
- If the Level I is positive for serious mental illness then a copy of the Level I must be faxed to the Division of Mental Health and Addiction Services (DMHAS) for a Level II Evaluation and Determination.
- If the Level I is positive for intellectual disability or a related condition then a copy of the Level I must be faxed to the Division of Developmental Disabilities (DDD) for a Level II Evaluation and Determination.
- If the Level I is positive for serious mental illness AND intellectual disability or a related condition, then a copies of the Level I must be faxed to both DMHAS and DDD for a Level II Evaluation and Determination.
After completion of a positive Level I Screen, the discharge planner must issue written notice (LTC-29) to the individual and his or her legal representative that the individual is being referred for a Level II evaluation for MI and/or DD and is being referred to DMHAS and/or DDD. A copy of the letter can be downloaded here.
Exempted Hospital Discharge - Individuals discharged from an acute hospitalization directly to a NF for continued treatment of a condition expected to require less than 30 days of admission may exempt from PASRR requirements with physician certification. If after 30 days the individual remains in the NF for more than 30 days, the NF must complete the Level II Evaluation and Determination process by day 40.