LTC PASARR Word Scramble
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| Question | Answer |
| 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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