MD DHMH 4345 2014-2024 free printable template

The Maryland PASRR (Pre-Admission Screening and Resident Review) is a process designed to ensure that individuals with serious mental illness, intellectual disability, or related conditions receive appropriate care in nursing facilities. It requires all nursing facility applicants to undergo a comprehensive evaluation to determine if they have specialized needs that can be better served in a more appropriate setting, such as a psychiatric hospital or specialized residential facility. The PASRR process involves screening assessments and reviews to ensure appropriate placement and care for individuals with specialized needs in Maryland.

The Maryland PASRR, or Pre-Admission Screening and Resident Review, is typically required to be filed by the following individuals/entities: 1. Nursing facilities or other residential healthcare providers: If they are planning to admit an individual with a mental illness, intellectual disability, or related conditions. 2. Hospitals: If they are planning to transfer a patient with a mental illness, intellectual disability, or related conditions to a nursing facility or residential healthcare provider. 3. Individuals or their legally authorized representatives: If they are seeking admission to a nursing facility or residential healthcare provider and have a mental illness, intellectual disability, or related conditions. It is important to note that the specific requirements may vary, and it is advisable to consult with the Maryland Department of Health or a healthcare professional for accurate and up-to-date information on the filing requirements.

To fill out the Maryland PASRR (Pre-Admission Screening and Resident Review) form, follow these steps: 1. Obtain the PASRR form: You can get the PASRR form from the Maryland Department of Health website or your healthcare provider. 2. Start filling out the form: Begin by entering the individual's personal information at the top of the form, including their name, date of birth, social security number, and contact information. 3. Provide facility information: Fill out the details of the facility where the individual intends to receive services, including the facility name, address, contact information, and the anticipated admission date. 4. Answer the screening questions: The PASRR form consists of several screening questions that assess the individual's mental health, developmental disabilities, or intellectual disabilities. You will need to answer these questions accurately. If you are unsure about any specific information, consult with the individual's healthcare provider. 5. Provide medical information: Include any relevant medical information about the person being screened, such as diagnoses, medical conditions, medications, and previous treatments. It is crucial to provide as much detailed information as possible for an accurate evaluation. 6. Consent and certification: At the end of the form, there will be sections for the individual or their legal representative to sign, giving their consent to the release of information for the purpose of the PASRR evaluation. Make sure the required signatures are obtained. 7. Submit the form: Once the form is completed and signed, submit it to the appropriate agency as indicated on the form. The form may need to be sent to the Maryland Department of Health or the local health department, depending on the instructions provided. Remember to keep a copy of the completed PASRR form for your records. The form will be reviewed by a healthcare professional to determine the level of care needed for the individual and ensure appropriate placement within a facility.

The purpose of Maryland PASRR (Pre-Admission Screening and Resident Review) is to ensure that individuals with mental illnesses or intellectual disabilities are appropriately placed in the most appropriate setting and receive appropriate services. It is a federally mandated program that applies to individuals seeking admission to nursing facilities or applicants for Medicaid-funded mental health services. Maryland PASRR aims to identify individuals who may have specialized needs and require specialized services or alternative placements instead of nursing facilities.

The following information must be reported on the Maryland PASRR (Pre-Admission Screening and Resident Review): 1. Individual Identifying Information: - Full name of the individual being screened - Social Security Number - Date of birth - Gender 2. Facility Information: - Name of the facility where the individual is either seeking admission or currently residing - Facility provider number - Date of admission/discharge 3. Screening Agency Information: - Name of the agency responsible for conducting the PASRR screening - Agency provider number - Date of screening 4. Diagnosis Information: - Primary diagnosis (ICD-10 code) - Any comorbid diagnoses which may impact the individual's mental health or cognitive condition 5. Level of Care Determination: - Determination of whether the individual requires specialized nursing facility services or can be served in a less-restrictive setting 6. Special Services or Conditions: - Identify if the individual has any special psychiatric conditions, active psychotropic drug use, or specialized services needed (such as specialized rehabilitative services or specialized behavioral services) 7. Enclosure of Relevant Documentation: - Any supporting documents, such as medical records, psychological evaluations, or other relevant files, that were used to determine the Level of Care or diagnose the individual It is important to note that additional information may be required depending on the specific circumstances and needs of the individual being screened.

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