PASRR. LIDDA must Comply with all PASRR requirements set forth in the LIDDA’s Medicaid Provider Agreement for the Provision of PASRR and 26 Tex. Admin. Code Chapter 303.
PASRR. LIDDA must Comply with all PASRR requirements set forth in the LIDDA’s Medicaid Provider Agreement for the Provision of Intellectual Disability Service Coordination and PASRR and 40 Tex. Admin. Code Chapter 17. If a PASRR Evaluation (“PE”) is positive, the LIDDA must complete and provide the PASRR Evaluation Report Form 1014 to the individual and LAR that describes the specialized services being recommended. If, during a PE, the LIDDA suspects an individual of having ID or DD but is unable to confirm the individual has a diagnosis of ID or DD due to lack of records or access to family history, the LIDDA must ensure compliance with the requirements in the handbook.
PASRR. 2.3.4.1. The Contractor shall invoice the Department by the last day of the month for all Pre-Admission Screenings and Resident Reviews. The Contractor may invoice for Psychological Evaluations for up to four hundred twenty three dollars and forty four cents ($423.44) of the total cost. The Department will pay for all screenings and reviews once the invoice is reviewed and accepted.
PASRR. The results of this evaluation result in a determination of need, determination of appropriate setting, and a set of recommendations for services to inform the individual's plan of care. The State is required to implement improvements to its existing processes for screening individuals prior to approving nursing facility placement and ensure that all individuals applying for nursing facility services are provided with information about community options. The State is required to develop and implement standardized training required for all personnel who complete any part of the Level I screenings (with the exception of physicians). The State is to provide additional training to ensure that evaluators who are completing the Level II PASRR are familiar with the complete array of home- and community-based services available to provide and maintain community integration. The State is also required to revise Level II forms to include more extensive and detailed information regarding services in the community. In addition, the state must ensure that each individual in the Target Population who has been admitted to a nursing facility receives a new PASRR Level II annually, and upon knowledge of a significant change in the resident’s condition, to determine whether his or her needs can be met in a community-based setting. The evaluation must be conducted by a qualified professional independent of the nursing facility and the State. During the first 18 months of implementation, the State is required to establish annual targets for diversion of Target Population members from nursing facilities to successful placements in the community. In addition, it must establish annual targets and strategies for decreasing referrals for individuals with serious mental illness to nursing facilities.
PASRR. For nursing facility stays, Provider shall provide Health Plan with all information necessary for Health Plan to complete a PASRR and to determine need for level of services consistent with OAC rules 5160-3-08, 5160-3-09, and 5160-101. (SC App. B., §2.s.)
