LAC 50:II.509. Changes in Level of Care and Status

A. The nursing facility shall notify the parish Medicaid office via the BHSF Form 148 of the following changes in a resident’s circumstances: 1. change in the level of care; 2. transfer to another nursing facility; 3. change in payer source; 4. hospital/home leave and returns; or 5. discharge home, death or any other breaks in facility care. B. The nursing facility must inform the appropriate level II authority if an individual with a diagnosis of MI and/or ID is subject to readmission or interfacility transfer and there has been a substantial change in the individual’s condition, or if a level I screen was not completed or was completed incorrectly. 1. An individual is considered to be a readmission if he/she was readmitted to a facility from a hospital to which he/she was transferred for the purpose of receiving care. 2. Interfacility transfer occurs when an individual is transferred from one NF to another NF, with or without an intervening hospital stay.