1. (a) Under current federal regulations, all nursing home applicants, including private pay applicants, must be screened for diagnoses or other indicators of mental illness and/or mental retardation/developmental disability (MI/MR/DD) prior to admission to a Medicaid-certified nursing facility.

2. (b)

   1. (1) Applicants whose initial screening (Level I) indicates the presence of MI/MR/DD must be referred to Level II for a full psychosocial evaluation to determine whether or not they need specialized services for the MI/MR/DD and whether or not a nursing facility is the most appropriate placement for them.
   2. (2) The state has seven (7) to nine (9) workdays from the time the MI/MR/DD is identified under the initial screening to complete the Level II assessment.

   3. (3) It is imperative that these packets be immediately forwarded to the Office of Long-Term Care PASRR since conducting the Level II assessment requires:

      1. (A) That a qualified evaluator be located;
      2. (B) That the information regarding the applicant be forwarded;
      3. (C) That an appointment for the assessment be made with:

3. (i) The individual;

   1. (ii) The hospital staff; or

      1. (iii) Both;
      2. (D) That the assessment be conducted;
      3. (E) That the completed assessment be returned to the contractor;
      4. (F) That the completed assessment be sent for psychiatric review and sign off; and

      5. (G) That the completed assessment be sent to the Division of Developmental Disabilities Services or the Division of Aging, Adult, and Behavioral Health Services.

         1. (c) The office has a contract with Bock Associates, Inc. to conduct the Level II assessments at state expense and Bock Associates, Inc. handles all arrangements for the Level II.
         2. (d)
   2. (1) Under current federal regulations, failure to conduct the full preadmission screening of persons identified as potentially MI or MR (Level I and Level II) prior to the applicant's admission to the nursing facility will result in denial of Medicaid coverage until the PASRR determination date is established.
   3. (2) The nursing facility may not bill the resident or the resident’s family for services received by the resident during this denial time period.

Codification Notes: "PASSR" means preadmission screening and resident review. "MI" means mental illness. "MR" means mental retardation. "DD" means developmental disability.