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LTC PASARR

QuestionAnswer
Per Requirements of Participation (ROP) an individual is considered to have a serious mental illness if they meet what requirements on level of impairment & duration of illness. -Diagnosis -Level of impairment -Recent treatment -Intellectual Disability -Persons with related conditions
Under this Ftag 645 what criteria must the diagnosis for Pre-Admission Screening & Resident Review (PASARR) meet? It must be a major mental disorder, that is diagnosable under DSMIII- schizophrenic, mood, paranoid, panic/severe anxiety disorder... that may lead to a chronic disability.
Under Ftag 645 what level of impairment must the mental disorder meet? requires that mental disorder results in functional limitations in major life activities that are appropriate for the individual’s life stage for the past 3-6 months.
What 2 requirements of recent treatment requirements are necessary? Had at least 1 of the following: a)psych tx more than once in the past 2 yrs more intensive that outpatient care. b) W/in 2 yrs person has experienced episodes of significant disruption to normal living situation, requiring support services.
According to ROPs "an individual is considered to have Intellectual Disability (ID) when? 1) "Level of retardation (mild, moderate, severe or profound) described in American Association on Intellectual’s Disability Manual on Classification in Intellectual Disability (1983)” or a related condition.
Per ROPs Persons with Related Conditions means? Severe/chronic disability: a) CP, epilepsy (not mental illness) related to ID, b) manifests by 22, c) continue indefinitely, d) functional limits in >3 major life activity self-care, language, learning, mobility, self-direction, & living.
True or False: Not all applicants for Medicaid-certified nursing facilities are required to be screened for possible serious mental disorders, intellectual disabilities & related conditions through the PASARR process. False: All applicants must be screened.
What is the intent of Ftag 645 PASARR screening? Ensure each resident in a nursing facility w/ a condition is screened prior to admission & those who are identified to have MD/ID are evaluated & receive the care & services that they need in the most appropriate integrated setting.
What does the initial or Level I screening identify? Identifies individuals w/ MD or ID & to identify the individuals who require a PASARR Level II Evaluation.
What does a PASARR Level II Evaluation conclude? It is necessary to confirm indicated diagnosis noted in the Level I screening & to determine whether placement or continue stay in a Nursing Facility is appropriate.
True or False: Can the Facility conduct the PASARR Level II Evaluation; why or why not? False: Because the evaluation determines the appropriate setting & specialized services or rehabilitative services the facility is not the one to conduct it.
Who is responsible for conducting the PASARR Level II Evaluation? A State Medicaid Agency; Level II evaluations for individuals w/ ID are performed by Dept of Economic Security (DES) & evaluations for individuals w/ MI are coordinated by AHCCCS & performed by a designated entity.
During survey where would you find the evaluation letter of a PASARR Level II screening? In the resident's plan of care.
Who can perform the PASARR Level I screening? May be completed by all entities involved in the PASARR process, such as hospital discharge planners, case managers, nursing facility staff, social workers or other qualified health professionals.
How soon does a Level II screening need to be done after a positive Level I has been determined? 7-9 working days
Is another Level I Screening &/or Level II Evaluation required when an individual is transferred to another Nursing Facility? When a resident is transferred from a NF to another, w/ or w/o an intervening hospital stay, resident is not considered a “new admission” & therefore, another Level I Screening or Level II Evaluation is not necessary.
Created by: Debra Bernier 1
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