Pre-Admission Screening and Resident Review (PASRR) Level II

Pre-Admission Screening and Resident Review (PASRR) Level II A. The Pre-Admission Screening and Resident Review (PASRR) Level I must be performed prior to admission to a Medicaid certified nursing facility (NF) to: [Refer to Miss. Admin. Code Part 207 for PASRR Level I] 1. Assess the person’s clinical eligibility and need for nursing facility (NF) services, 2. Confirm whether or not the person has a mental illness (MI), an intellectual disability/developmental disability (ID/DD) and/or a related condition (RC), and/or 3. Assess whether the person requires specialized rehabilitative services or supplemental services and supports. B. If the PASRR Level I confirms that a person has MI, ID/DD and/or a RC, or if specialized rehabilitative services or supplemental services and supports are required, then the person must complete a PASRR Level II. C. A PASRR Level II ensures the appropriate placement of persons with MI, ID/DD, and/or a RC and the provision of needed services to persons who have been diagnosed with MI, ID/DD, and/or a RC. 1. RCs are defined as conditions that are not an intellectual disability, but which produce similar functional impairment and require similar treatment or services. 2. RCs: a) Must emerge before the age of twenty-two (22), b) Are expected to continue indefinitely, and c) Must result in substantial functional limitations in three (3) or more of the following major life activities: 1) Self-care, 2) The understanding and use of language, 3) Learning, 4) Mobility, 5) Self-direction, 6) Capacity for independent living, and/or 7) Economic sufficiency. 3. RCs include, but are not limited to, a) Autism, b) Cerebral palsy, c) Down syndrome, d) Fetal alcohol syndrome, e) Muscular dystrophy, f) Multiple sclerosis, g) Seizure disorder, and h) Traumatic brain injury (TBI). B. A PASRR Level II consists of two (2) types: 1. An initial PASRR Level II is defined as the first PASRR Level II completed on a person whose PASRR Level I indicated MI, ID/DD and/or a RC so that appropriateness of NF placement can be determined and the need for specialized services be identified and recommended. 2. A subsequent PASRR Level II is defined as any PASRR Level II completed after an initial PASRR Level II when there is a significant change in the physical, mental, or emotional condition of a NF resident. a) The significant change is for persons with previously identified MI, ID/DD and/or RC whose needs have changed as well as for persons with newly discovered or suspected MI, ID/DD and/or RC. b) The purpose of a subsequent PASRR Level II is to assess whether or not the resident is still appropriate for the NF level of care and/or if a change in the need or type of specialized services is required. C. The Division of Medicaid defines: 1. Specialized rehabilitative services as a subcategory of NF services which are individualized services and supports which a NF provides for persons who need them and are included in the NF per diem. 2. Supplemental services and supports, referred to as specialized services, as any services and supports for persons with MI or ID/DD, other than specialized rehabilitative services, for a particular NF person and not included in the NF per diem.