(a)
- (1) Each Medicaid-certified nursing facility will evaluate each nursing home applicant's need for nursing home services using the Form DMS-703.
- (2) A thorough and complete evaluation must be conducted to ensure that individuals who do not require nursing home services are not admitted to nursing facilities.
- (b) For Medicaid-eligible recipients, the Office of Long-Term Care cannot guarantee Medicaid reimbursement for any applicant admitted prior to approval by the office’s Medical Needs Determination Unit.
- (c) No applicant with diagnoses or other indicators of mental illness, mental retardation, or developmental disabilities may be admitted to nursing home care prior to evaluation and approval by the office.