Exclusions

Exclusions A. A Pre-Admission Screening and Resident Review (PASRR) Level I is not required when a person is: 1. Admitted to a nursing facility (NF) when the person was discharged from an acute care hospitalization directly into a NF for continued treatment of a condition for a period of less than thirty (30) days. a ) The person must be admitted to a NF short stay covered under Medicare Part A, Medicare Part C Plan, or other payor, as a skilled NF resident, and b) The attending physician must certify before admission to the NF that the person is likely to require less than thirty (30) days of NF services. 2. Discharged from a NF due to exhaustion of hospital temporary leave days and is subsequently readmitted to a NF. 3. Transferring from one (1) Medicaid certified NF to a different Medicaid certified NF with or without an intervening hospital stay. B. If a person who enters a NF as an exempted hospital discharge is later found to require more than thirty (30) days of NF care, the State mental health or intellectual disability authority must conduct a resident review within forty (40) calendar days of the NF admission.