Under what circumstances can an applicant be admitted to a nursing facility before the Level I or II screens are completed?
None. Regulations require a Level I screen prior to admission for every nursing facility applicant, including private pay. The Level I screen identifies applicants who may have mental illness and thus will require the Level II evaluation. Federal law bars nursing facilities from admitting new applicants with mental illness unless the State Mental Health Authority has determined, on the basis of a PASRR Level II evaluation, that the person needs NF services. States cannot seek Federal Medicaid reimbursement for eligible NF services provided to residents with mental illness who were not determined by a PASRR program to require such services. CMS is prohibited from providing Federal financial participation until a PASRR screen is conducted. However, regulations allow States to expedite certain nursing facility admissions through advance group determinations–Level II determinations based on categories for which NF services are normally needed. Some examples in regulation include provision
Related Questions
- When must the Skilled Nursing Facility (SNF) notify a beneficiary that he/she no longer needs a Medicare skilled level of care?
- Under what circumstances can an applicant be admitted to a nursing facility before the Level I or II screens are completed?
- Can nursing facilities conduct any part of the Level I or II screens?
