PASRR Manual

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  • Introduction
  • Definitions
  • Mental Illness
  • Mental Retardation
  • Level I Screens
  • Level II Assessments
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PASRR - V. Level 1 Screens

Level I Screens

1. Who Must Be Screened
   1. Persons Seeking Admission to an NF in Maine. ALL persons who apply for admission to an NF in Maine and who meet the standards for medical need must be screened prior to admission. Screening is required regardless of the method of payment. It is required whether or not mental illness or developmental disability is known or suspected.
   2. People who reside outside Maine and are being admitted to an NF in Maine. All people must be screened (Level I). Level I screens for people who are residing in NFs in another state must be completed by the out-of-state NF. Level I screens for people who are residing in the community, out of state, are the responsibility of the admitting NF.
2. Exceptions. People who meet the following conditions are exempt from Level I pre-admission screening:
   1. People who are being readmitted to the same NF. There is no time limit from the time of discharge from the NF to the readmission. This exception applies to people who were discharged to a hospital or another setting. The NF is responsible for maintaining a copy of the original Level I screen. However, a person with a confirmed diagnosis who has been readmitted from a hospital may require a Change in Condition review.
   2. People who are transferring from one NF to another, without an intervening hospitalization, within Maine. The transferring NF is required to ensure that the Level I screen and Level II assessment, if applicable, have been completed in the past and that copies of each are provided to the receiving NF. People with a confirmed diagnosis may require a Change in Condition review.
   3. People who had been at an NF, were discharged to a hospital, and are being admitted to a different NF, within Maine. The admitting NF is required to ensure that the Level I screen had been completed previously and may make a referral for a Change in Condition review if the person has a confirmed diagnosis.
   4. People who are otherwise required to be screened are exempt if they have been admitted to an NF
      1. directly from a hospital, and
      2. the NF care is for the same condition treated during the hospitalization, and
      3. the expected length of stay in the NF is 30 calendar days or less. The discharging hospital physician must document that the NF stay is expected to be 30 days or less.
         
   5. If the length of stay exceeds 30 calendar days, the NF must complete the Level II assessment within 40 calendar days of admission.
3. Process. The following process is used to complete the Level I Screen.
   1. Persons authorized to screen. The Level I Screen may be completed by hospital discharge planners, licensed social workers, registered professional nurses, psychologists, physicians and professional NF staff.
   2. Responsibility. Completion and retention of Level I Screens is the responsibility of the NF to which the person is seeking admission, for new admissions. Hospital staff may complete the Level I Screen and forward it to the admitting NF. Discharging NFs must provide admitting NFs with a copy of the Level I screen prior to admission.
   3. Determinations. The Level I screening process makes only two determinations:
      1. there is no known or suspected mental illness or developmental disability, or
      2. there is a known or suspected mental illness or developmental disability.
   4. Referral to DHHS. The NF to which application for admission has been made is responsible for forwarding Level I screens that indicate a known or suspected mental illness or developmental disability to DHHS for a Level II assessment. Level I screens that indicate a known or suspected mental illness should be FAXED to the statewide PASRR Coordinator. Level I screens that indicate known or suspected developmental disability should be FAXED to Developmental Disability Services in the appropriate Region.
   5. Form. Module V: Level 1 Screen Microsoft Word* Adobe PDF* (free viewer)

Initial Assessment Flowchart

 

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