KANSAS PASRR CONTENT VALIDITY PANEL: INTRODUCTORY WEBINAR June 8, Carrie Wendel-Hummell, PhD, MFEI Project Manager
|
|
- Donna Gibbs
- 5 years ago
- Views:
Transcription
1 KANSAS PASRR CONTENT VALIDITY PANEL: INTRODUCTORY WEBINAR June 8, 2018 Carrie Wendel-Hummell, PhD, MFEI Project Manager
2 Webinar Objectives 1) Overview the Medicaid Functional Eligibility Instrument (MFEI) Project 2) Overview the Preadmission Screen and Resident Review (PASRR) program 3) Overview the Kansas PASRR Content Validity Evaluation Process 4) Q & A 2
3 MFEI Background Medicaid Functional Eligibility Instrument The MFEI-LOC (Medicaid Functional Eligibility Instrument Level of Care) will be used to determine functional eligibility for long term services and supports (LTSS) to meet federal Medicaid law eligibility requirements. It will also meet the federal PASRR requirement. It will replace the current Functional Assessment Instrument (FAI) and Client Assessment, Referral, and Evaluation (CARE) assessment forms. The MFEI-LOC will be used for the following programs: Physical Disabilities (PD) Waiver Traumatic Brain Injuries (TBI) Waiver Frail Elderly (FE) Waiver Program of All-Inclusive Care for the Elderly (PACE) TBI Rehabilitation Facilities (TBIRFs) Nursing Facilities (NFs) (i.e., the CARE population) The MFEI project has also been extended to the HCBS-IDD and ICF-IID programs, but this version is at an earlier stage of development and testing. 3
4 MFEI Background Medicaid Functional Eligibility Instrument The functional eligibility portion of the tool is based on the interrai- Home Care tool. The revised PASRR portion of the tool is based on the current Kansas PASRR and leading examples from other states, as guided by the PASRR Technical Assistance Center (PTAC). The MFEI underwent field testing by ADRCs with a diverse group of 380 program participants/applicants from December 2014-April We are currently embarking on another round of testing to examine recent revisions and to verify previous results. Current projected statewide roll-out for the MFEI is early
5 PASRR Background Pre-Admission Screen and Resident Review The goal of the PASRR program is: 1. To identify individuals with mental illness and/or intellectual disability; 2. To ensure they are placed appropriately, whether in the community or in a nursing facility; and 3. To ensure that they receive the services they require for their mental illness or intellectual disability (wherever they are placed) (PTAC 2018). For more information, PASRR Technical Assistance Center: 5
6 PASRR Background The PASRR screen identifies nursing facility (NF) applicants who have, or might have, a serious and persistent mental illness (SPMI) and/or an intellectual disability/developmental disability/related condition (ID/DD/RC). o In Kansas, the PASRR screen is part of the CARE program. The CARE Level-1 also determines the nursing facility levelof-care score (i.e., functional eligibility) o The CARE Level-1 is conducted by AAA/ADRC or Hospital based assessors. o NF assessors are allowed to complete the PASRR portion only, for special admission cases only. 6
7 PASRR Background A Level-2 assessment confirms or disconfirms a positive Level-1 screen, determines whether placement in a nursing facility is appropriate, and indicates the SPMI or ID/DD/RC services that the individual needs. If the PASRR indicates a nursing facility applicant has, or might have, SPMI or ID/DD/RC, states can implement a Level 1.5 desk review to determine if they qualify for any exceptions to a full Level-2 review. Exceptions include primary dementia and the nursing facility special admissions. 7
8 PASRR Updates The CARE Level-1 program, including the updated PASRR screen, will now use the MFEI assessment. A PASRR for NF assessors form was developed for special admission cases, separate from the MFEI system. This form asks about special admission categories such as terminal illness, temporary medical rehab stay, temporary respite stay, and emergency admission. This form excludes the functional eligibility portion of the MFEI. The PASRR screen, as advised by PTAC, now captures: Suspected SPMI or ID/DD/RC Substance Related Disorders Primary Dementia Diagnosis 8
9 Kansas PASRR Content Validity Panel Members 1. Robin Abramowitz, Brain Injury Association 2. Ginger Acker, East Central AAA/ADRC 3. Kaye Barthuly, South Central AAA/ADRC 4. Rikki Bowker, Butler CDDO 5. Kathy Brennon, Tri-County CDDO 6. Carol Buller, DNP, KUMC 7. Angela Drake, Cottonwood CDDO 8. Kim Lewis, Prairie View CMHC 9. Colene Medrano, KS Healthsource Integrated Solutions 10. Linda MowBray, Kansas Health Care Association 11. Joan Newman, Southeast KS AAA/ADRC 12. Angela Pelger, Johnson County AAA/ADRC 13. Kelsey Pfannenstiel, North Central Flint Hills AAA/ADRC 14. Lindsay Sanner, Via Christi HOPE 15. Rik VanDyke, Wyandotte-Leavenworth AAA/ADRC 16. Phyllis Wallace, Wyandotte CDDO 9
10 Kansas PASRR Content Validity Evaluation: Key Steps Review the MFEI-LOC form. The entire form is provided for context, but you can focus your review on Section II: PASRR. Review the PASRR for NF Assessors form. Additional information has been provided for context, including a PASRR background sheet, our training slides, and referral flow charts. The 6/5/18 from CRADO contained all the materials you need to complete your review, but please contact us with any questions. 10
11 Kansas PASRR Content Validity Evaluation: Key Steps Complete the questionnaire and cover sheet, and submit to us on/by June 22, o Complete your review and questionnaire independently of other panel members. o It s OK to consult with colleagues who are not on the panel. o Comments are encouraged, especially when you see room for improvement! o Please keep in mind that we want to keep the PASRR screen reasonably brief. Participate in the required webinar on July 11 th from 1-3pm. 11
12 Q & A 12
13 Thank you! Follow up questions?: A special thanks to Dr. John Poggio and Dr. Tracey LaPierre for advising on study design! A special thanks the to the KDADS CARE team for all their help with this effort! 13
PASRR 101: Collaboration and A Successful PASRR Program
PASRR 101: Collaboration and A Successful PASRR Program P A S R R 1 0 1 - T H E P A S R R T E C H N I C A L A S S I S T A N C E C E N T E R ( P T A C ) S T A T E T R A I N I N G S L I D E S & I N G R E
More informationThe Power and Possibility of PASRR Webinar Series Webinar Assistance
The Power and Possibility of PASRR Webinar Series Webinar Assistance http://www.pasrrassist.org/resources/webinar-assistance-and-faqs Call-in through one of two ways listed below: Telephone: 1. Locate
More informationTransition Overview & PASRR Level I System Demo Nancy Shanley, VP of Consulting and Policy Analysis Ascend Management Innovations LLC
INDIANA PAS/PASRR REDESIGN Transition Overview & PASRR Level I System Demo Nancy Shanley, VP of Consulting and Policy Analysis Ascend Management Innovations LLC 2015 ASCEND MANAGEMENT INNOVATIONS LLC.
More informationPreadmission Screening (PASRR) Medicaid Certified Nursing Facilities DEPARTMENT OF HUMAN SERVICES MED-QUEST DIVISION 2018
Preadmission Screening (PASRR) Medicaid Certified Nursing Facilities DEPARTMENT OF HUMAN SERVICES MED-QUEST DIVISION 2018 1 Agenda History Specialized Services in Hawaii CMS Review of Hawaii s PASRR Process
More informationThe Power and Possibility of PASRR Webinar Series Webinar Assistance
The Power and Possibility of PASRR Webinar Series Webinar Assistance http://www.pasrrassist.org/resources/webinar-assistance-and-faqs Call-in through one of two ways listed below: Telephone: 1. Locate
More informationUnderstanding PASRR Categorical Decisions
Understanding PASRR Categorical Decisions May, 2011 PTAC/NAPP PASRR web series Nancy Shanley Chairman of the Board of Directors, National Association of PASRR Professionals Consultant, PASRR Technical
More informationKanCare Implementation Meeting: January 4, 2013 Questions & Answers. 9:00am-12pm
Page 1 of 10 KanCare Implementation Meeting: January 4, 2013 Questions & Answers 9:00am-12pm 1. Does it matter what position the PRAP coding is in? It should not. It is noted that there are concerns regarding
More informationFREQUENTLY ASKED QUESTIONS FOR PROVIDERS
FREQUENTLY ASKED QUESTIONS FOR PROVIDERS TN PASRR REIMPLEMENTATION DEVELOPED: 10.5.16 REVISED: 10.17.16 Contents PASRR... 1 1. Does the person have to have be in TN to submit a PASRR?... 1 2. When does
More informationWelcome to Ascend s Technical Assistance Webinar for September 27, 2016 on Updates
Welcome to Ascend s Technical Assistance Webinar for September 27, 2016 on Updates about the Iowa PASRR Process 1 2 3 If you have done so, please register for the upcoming onsite training in October. Please
More informationPromising Practices for Diversion and Transition of Persons with Mental Illness Through the PASRR Processes
Promising Practices for Diversion and Transition of Persons with Mental Illness Through the PASRR Processes Dee O Connor, PhD Jennifer Ingle, MS, CRC Kimberly Wamback, BA University of Massachusetts Medical
More informationLeveraging PASRR to Support Community Placements
1 Leveraging PASRR to Support Community Placements PASRR as a Vital Tool for Long- Term Care Rebalancing 26th National HCBS Conference, Atlanta, GA, September 28, 2010 Sponsored by the CMS PASRR Technical
More informationPRE-ADMISSION SCREENING AND RESIDENT REVIEW (PASRR) LEVEL I SCREEN
NEW JERSEY DEPARTMENT OF HUMAN SERVICES PRE-ADMISSION SCREENING AND RESIDENT REVIEW (PASRR) LEVEL I SCREEN Please print and complete all questions. This form must be completed for all applicants PRIOR
More informationTable of Contents. FREQUENTLY ASKED QUESTIONS Iowa ServiceMatters/PathTracker Webinars 1/25/2016 2/2/2016. PASRR/Level I Questions...
Below you will find the frequently asked questions for the ServiceMatters and PathTracker Webinars conducted 1/25/2016 2/2/2016. Answers to these questions were based on knowledge and policy as of 3/1/2016.
More informationTABLE OF CONTENTS. INDIANA PASRR FAQs FOR PROVIDERS
TABLE OF CONTENTS TABLE OF CONTENTS... 1 QUESTIONS & ANSWERS BY TOPIC... 7 Accessing AssessmentPro... 7 1. How do I access the Ascend system?... 7 2. How can I obtain a login and password privileges?...
More informationIowa Department of Human Services
DATE: June 4, 2012 Iowa Department of Human Services Terry E. Branstad Kim Reynolds Charles M. Palmer Governor Lt. Governor Director TO: FROM: RE: General Hospital, Nursing Facility and Skilled Nursing
More informationpresentation will provide an overview of the history and purpose of PASRR
Welcome to Ascend s PASRR training for Iowa PASRR Providers. The information in this presentation will provide an overview of the history and purpose of PASRR 1 Ascend, A MAXIMUS Company is an internationally
More informationTHE CDDO SERVING COFFEY, OSAGE AND FRANKLIN COUNTIES Policies and Procedures
EFFECTIVE: 12/1/14 SECTION: 502C PAGE: 1 of 5 Policy: The Community Developmental Disability Organization (CDDO) serving Coffey, Osage and Franklin Counties ( the CDDO), will collect and electronically
More informationCOMMUNITY-BASED LONG TERM CARE PROGRAMS IN WISCONSIN. Attorney Mitchell Hagopian Disability Rights Wisconsin July 2013
COMMUNITY-BASED LONG TERM CARE PROGRAMS IN WISCONSIN I. INTRODUCTION Attorney Mitchell Hagopian Disability Rights Wisconsin July 2013 In 1981, with the creation of the Community Options Program, the state
More informationPreAdmission Screening/Resident Review(PASRR) Level I Assessment (Form : DMA-613)
PreAdmission Screening/Resident Review(PASRR) Level I Assessment (Form DMA-613) Please provide the required information for this PA request on this page. When you have completed entering the data for this
More informationThe TBI Waiver: the North Carolina Brain Injury Advisory Council Recommendations to the Legislative Oversight Committee on Health and Human Services
The TBI Waiver: the North Carolina Brain Injury Advisory Council Recommendations to the Legislative Oversight Committee on Health and Human Services On behalf of the North Carolina Brain Injury Advisory
More informationTransition to Community Living Initiative Diversion Process PASRR Manual for Adult Care Homes Licensed Under GS 131D 2.4
Transition to Community Living Initiative Diversion Process PASRR Manual for Adult Care Homes Licensed Under GS 131D 2.4 Presenters : Johnnie McManus, PASRR Coordinator 1 Introduction Pre-Admission Screening
More informationMedicaid Managed Care. Long-term Services and Supports Trends
Medicaid Managed Care Long-term Services and Supports Trends Medicaid Managed Care Statistics As of 2011, 74.2% of Medicaid Enrollees were enrolled in a Medicaid Managed Care system As of 2011, California,
More informationLook at Process & Procedure Changes
INDIANA PAS/PASRR REDESIGN: A First Look at Process & Procedure Changes Indiana Division of Aging Ascend, A MAXIMUS Company 2016 ASCEND MANAGEMENT INNOVATIONS LLC. ALL RIGHTS RESERVED. 1 HOUSE KEEPING
More informationSunflower Health Plan
Key Components for Successful LTSS Integration: Case Studies of Ten Exemplar Programs Sunflower Health Plan Jennifer Windh September 2016 Long- term services and supports (LTSS) integration is the integration
More informationNew Level of Care (LOC) Rule Webinar Frequently Asked Questions (FAQ)
During the month of March, 2012, ODJFS conducted a series of training Webinars called "New Medicaid Level of Care Rule Changes." Because hundreds of individuals participated in each Webinar session, taking
More informationNF PTAC Dec 12, 2017 PASRR. Specialized Services
NF PTAC Dec 12, 2017 PASRR Specialized Services 2 Session Topics Hot Topics: Certification Revised Chapter 19 BB Rules Taking charge of your PASRR knowledge Reminders: IDT membership Preadmission Referring
More informationTransition to Community Living Initiative Diversion Process PASRR Manual for Adult Care Homes Licensed Under GS 131D 2.4
Transition to Community Living Initiative Diversion Process PASRR Manual for Adult Care Homes Licensed Under GS 131D 2.4 Presenters : Johnnie McManus, PASRR Coordinator 1 Important Changes in the PASRR
More informationPENNSYLVANIA PREADMISSION SCREENING RESIDENT REVIEW (PASRR) IDENTIFICATION LEVEL I FORM (Revised 9/1/2018)
PENNSYLVANIA PREADMISSION SCREENING RESIDENT REVIEW (PASRR) IDENTIFICATION LEVEL I FORM (Revised 9/1/2018) This process applies to all nursing facility (NF) applicants, regardless of payer source. All
More informationMichelle Newberry Missouri Project Director Bock Associates
Michelle Newberry Missouri Project Director Bock Associates bockmo@embarqmail.com Kathy Schafer Registered Nurse Clinical Operations Department of Mental Health Kathy.Schafer@dmh.mo.gov Ammanda Ott FAN
More informationFlorida Statewide Medicaid Managed Care: Long-term Care Managed Care Program
Florida Statewide Medicaid Managed Care: Long-term Care Managed Care Program David A. Rogers Assistant Deputy Secretary for Medicaid Health Systems Agency for Health Care Administration Florida Health
More informationKANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. HCBS Physical Disability
Fee-for-Service Provider Manual HCBS Physical Disability Updated 03.2017 PART II Section BILLING INSTRUCTIONS Page 7000 HCBS PD Billing Instructions................. 7-1 7010 HCBS PD Specific Billing Information.............
More information# December 29, 2000
#00-53-3 December 29, 2000 Minnesota Department of Human Services 444 Lafayette Rd. St. Paul, MN 55155 OF INTEREST TO! County Social Service Directors/Supervisors! County Designated LMHA for PASRR! County
More informationNORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS TO BE USED WITH LOC FORM ND
For this section, select which type of LOC screen is to be reviewed Requested Screen Type NORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS Nursing Facility Swingbed CMFN PACE MFP Provisional MFP Final Tech.
More informationPreadmission Screening for Medicaid Certified Nursing Facilities. Department of Human Services Med-QUEST Division 2016
Preadmission Screening for Medicaid Certified Nursing Facilities Department of Human Services Med-QUEST Division 2016 1 Agenda History Specialized Services Hawaii s Revised Level I Screening Tool Level
More informationRobert G. Bethell Joint Committee on HCBS and KanCare Oversight Committee Testimony by Kerrie J. Bacon, KanCare Ombudsman February 24, 2017
Robert G. Bethell Joint Committee on HCBS and KanCare Oversight Committee Testimony by Kerrie J. Bacon, KanCare Ombudsman February 24, 2017 Chairman, Senators and Representatives, Good afternoon! I m Kerrie
More informationNF PTAC March 13, 2018 PASRR. Specialized Services
NF PTAC March 13, 2018 PASRR Specialized Services Session Topics Hot Topics: Certification Form 1013 Issues Errors on PL1s NFSS Status Technical Support 2 3 Certification NFs must indicate they can meet
More informationPre-admission Screening and Resident Review (PASRR) The Current Climate of PASRR
Pre-admission Screening and Resident Review (PASRR) The Current Climate of PASRR Trends in Quality and Person-Centered Care 1 Topics of Discussion Understanding PASRR Trending shows states are increasing
More informationChapter Two. Preadmission Screening and Annual Resident Review (PASARR)
Preadmission Screening and Annual Resident Review (PASARR) Introduction The information in this chapter addresses Preadmission Screening and Annual Resident Review (PASARR) requirements for applicants
More informationSummary of States Core Standardized Assessment (CSA) Instruments
Summary of States Core Standardized (CSA) Instruments March 2015 The Balancing Incentive Program requires states to use a Core Standardized (CSA) instrument(s) to 1) determine eligibility for Medicaid-funded
More informationNew York Children s Health and Behavioral Health Benefits
New York Children s Health and Behavioral Health Benefits DRAFT Transition Plan for the Children s Medicaid System Transformation August 15, 2017 DRAFT Transition Plan for the Children s Medicaid System
More informationNursing facility/swing bed
Nursing facility/swing bed KSPEC-2176-18 August 2018 We will cover Client assessment, referral and evaluation (CARE) assessments Quick Fax Sheet Level of care (LOC) MS-2126 Form Eligibility verification
More informationFourth, a 7000 Hospital Exemption cannot be issued for an individual who is in a hospital psychiatric unit.
Information for Lesson 6 Hospital Exemption Information (Formerly Convalescent Stays and Various Scenarios Involving Hospital Exemptions-) For the HENS (Hospital Exemption Notification System) website
More informationManaged Long Term Services and Supports (MLTSS)
Managed Long Term Services and Supports (MLTSS) Business Process Office of Community Choice Options Hospital and Nursing Facility MLTSS Business Process OCCO June 2014 1 Managed Long Term Services and
More informationPENNSYLVANIA DEPARTMENT OF HUMAN SERVICES OFFICE OF LONG-TERM LIVING OBRA. Preadmission Screening Resident Review Identification Form.
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES OFFICE OF LONG-TERM LIVING OBRA Preadmission Screening Resident Review Identification Form (Level I Tool) April 2017 1 Objectives for this Webinar Overview of
More informationCommunity ICF/DD Scenarios
Community ICF/DD Scenarios This section contains the more frequently used sequencing charts for 1. Community ICF/DD to METO: not MA certified bed to Community ICF/DD 2. Community ICF/DD to DD Conversion
More informationHCBS MRDD Home Modifications
KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL HCBS MRDD Home Modifications PART II MR/DD HOME MODIFICATIONS PROVIDER MANUAL Section BILLING INSTRUCTIONS Page 7000 MR/DD Home Modifications Billing Instructions.........
More informationMOST COMMON SCENARIOS PASRR and LOC PreAdmission Screen (PAS) (form 3622) A - I. Admissions from an Ohio Hospital
MOST COMMON SCENARIOS PASRR and NOTES (pertaining to all charts): THESE CHARTS ARE IN NO WAY TO BE CONSIDERED A SUBSTITUTE FOR THE RULES NF means an Ohio Medicaid-certified nursing facility These charts
More informationChapter 14: Long Term Care
I N D I A N A H E A L T H C O V E R A G E P R O G R A M S P R O V I D E R M A N U A L Chapter 14: Long Term Care Library Reference Number: PRPR10004 14-1 Chapter 14 Indiana Health Coverage Programs Provider
More informationFor Profit Managed Care for Long Term Supports & Services Lessons Learned
For Profit Managed Care for Long Term Supports & Services Lessons Learned Mike Chittenden, The Arc Nebraska Kevin Fish, The Arc of Sedgwick County Carrie Hobbs Guiden, The Arc Tennessee John Nash, The
More informationType & Specialty pages Mark the specialty(s) you wish to enroll in. Attach required documents including license as specified.
P O Box 3571 Below is a checklist for your convenience to help ensure that all forms are completed in their entirety. If any of the following items are not complete, do not contain original signatures,
More informationKANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. HCBS Intellectual/Developmentally Disabled
Fee-for-Service Provider Manual HCBS Intellectual/Developmentally Disabled Updated 07.2017 PART II HCBS INTELLECTUAL/DEVELOPMENTALLY DISABLED FEE-FOR-SERVICE PROVIDER MANUAL Section BILLING INSTRUCTIONS
More informationNew Mexico Department of Health Developmental Disabilities Supports Division PASRR
New Mexico Department of Health Developmental Disabilities Supports Division PASRR Presented by Sandyeva Martinez, LMSW PASRR Program Manager/Supervisor 1 What is PASRR? Pre Admission Screening and Resident
More informationINDIANA PASRR Level I & Level of Care Screening Procedures for Long Term Care Services Provider Manual
INDIANA PASRR Level I & Level of Care Screening Procedures for Long Term Care Services Provider Manual DEVELOPMENT DATE: 2.2.2016 MOST RECENT REVISION: 9.19.2016 2016 ASCEND MANAGEMENT INNOVATIONS LLC.
More informationDEPARTMENT OF ELDER AFFAIRS PROGRAMS AND SERVICES HANDBOOK. Chapter 3. Description of DOEA Coordination With Other State and Federal Programs
Chapter 3 Description of DOEA Coordination With Other State and Federal Programs TABLE OF CONTENTS Section: Topic Page I. Overview and Specific Legal Authority 3-3 II. 3-5 A. Adult Care Food Program 3-5
More informationPlan Approval Process for the NC Resource Allocation Model
Plan Approval Process for the NC Resource Allocation Model NC Innovations Waiver Stakeholder Meeting Raleigh, NC November 7, 2014 BRAINSTORMING What are the challenges with the current Plan Approval Process?
More informationDepartment of Human Services Division of Aging Services Office of Community Choice Options Preadmission Screening and Resident Review (PASRR)
Department of Human Services Division of Aging Services Office of Community Choice Options Preadmission Screening and Resident Review (PASRR) 3/18/2015 1 Objectives for Training Understand PASRR regulations
More informationHome and Community Based Services Mental Retardation/Developmental Disabilities Providers
May 2008 Provider Bulletin Number 869 Home and Community Based Services Mental Retardation/Developmental Disabilities Providers Manual Updates and New Manuals Home and Community Based Services Mental Retardation/Developmental
More informationMDS 3.0 and PASRR. 10/12/2010 Webinar for NAPP members. Dan Timmel CMS PASRR Technical Assistance Center. Slides prepared by Breck Douglas (9/10)
MDS 3.0 and PASRR 10/12/2010 Webinar for NAPP members Dan Timmel CMS PASRR Technical Assistance Center Slides prepared by Breck Douglas (9/10) Agenda What is MDS? How and why does it affect me? Review
More informationHCBS Waiver Consolidation Monthly Stakeholder Meeting
HCBS Waiver Consolidation Monthly Stakeholder Meeting Traumatic Brain Injury/ Spinal Cord Injury (TBI/SCI) & Adult Cystic Fibrosis (ACF) Waiver Tuesday, November 14 th, 2017 Webinar Housekeeping Attendee
More informationMLTSS PROGRAMS: SHARING DESIGN AND IMPLEMENTATION EXPERIENCES AUGUST 29, 2017
MLTSS PROGRAMS: SHARING DESIGN AND IMPLEMENTATION EXPERIENCES AUGUST 29, 2017 Deidra B. Abbott, MPH Kim Donica, Principal Bob Karsten, ASA, MAAA Mercer Angela Medrano New Mexico Human Services Department
More informationMedicaid RAC Audit Results
Medicaid RAC Audit Results Clinical Audits: The RAC Clinical audit goal was to review supporting documentation for necessity of admission and continued stay in long term care for Medicaid residents. There
More informationWelcome to the INDIANA PASRR IDD Level II: A Look at Process & Procedure Changes webinar. Today s session will introduce some new and exciting
Welcome to the INDIANA PASRR IDD Level II: A Look at Process & Procedure Changes webinar. Today s session will introduce some new and exciting changes for the Level II process for individuals with Intellectual
More informationIn Arkansas 02/20/2014 1
In Arkansas 02/20/2014 1 Procedures for Determination of Medical Need for Nursing Home Services I. Medical Need Assessments A. Nursing Facility Procedures B. OLTC Procedures II. Pre-Admission Screening
More informationLong Term Care (LTC) Facility Authorization Request
State of Alaska Department of Health and Social Services Senior and Disabilities Services Long Term Care (LTC) Facility Authorization Request This form may be completed by hospital discharge staff or a
More informationThe Power and Possibility of PASRR Webinar Series Webinar Assistance
The Power and Possibility of PASRR Webinar Series Webinar Assistance http://www.pasrrassist.org/resources/webinar-assistance-and-faqs Call-in through one of two ways listed below: Telephone: 1. Locate
More informationReport No May 2015
Report No. 15-18 May 2015 Office of the Inspector General Internal Audit Pre-Admission Screening and Resident Review Process EXECUTIVE SUMMARY At the request of the Agency for Health Care Administration
More informationHow to Affiliate with The Shawnee County Community Developmental Disabilities Organization (CDDO)
How to Affiliate with The Shawnee County Community Developmental Disabilities Organization (CDDO) 1 Table of Contents Introduction 3 Licensed Provider/Financial Management Provider 4 Step 1 License Process
More informationPASRR IN SKILLED NURSING Regulatory Overview
PASRR IN SKILLED NURSING Regulatory Overview What is the GOAL of the federally mandated PASRR? Facilitate nursing facilities in their effort to provide the necessary care and services to each resident
More informationCDDO HANDBOOK MISSION STATEMENT
Adopted 6-19-09 Revised 11-1-10 Revised 4-30-13 Revised 2-27-17 CDDO HANDBOOK MISSION STATEMENT Arrowhead West, Inc. is the Community Developmental Disabilities Organization (CDDO) for initial contact
More informationHome and Community-Based Waivers: Opportunities for Community Living for ABI Survivors
Home and Community-Based Waivers: Opportunities for Community Living for ABI Survivors BIA-MA Brain Injury Conference March 30, 2017 Amy Bernstein Director, Community Based Waivers MassHealth Dorothée
More informationWhat is a retrospective Level of Care and what is the process for submitting a retrospective Level of Care?
Last updated 9/14/2011 The following are Frequently Asked Questions (FAQs) associated with Connecticut Level of Care and PASRR Level I/II processes. To read to the corresponding response to the questions
More informationINDIANA PASRR Level I & Level of Care Screening Procedures for Long Term Care Services Provider Manual
INDIANA PASRR Level I & Level of Care Screening Procedures for Long Term Care Services Provider Manual DEVELOPMENT DATE: 2.2.2016 MOST RECENT REVISION: 6.29.2016 2016 ASCEND MANAGEMENT INNOVATIONS LLC.
More informationCoverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions
Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions Webinar Website: http://gucchdtacenter.georgetown.edu/resources/tawebinars.html Coverage
More informationACH: Adult Care Home
1 ACH: Adult Care Home Updates to PRE-ADMISSION SCREENING AND Review Process 2 Agenda 1 2 Introduction PCS & PASRR 3 ACH Paper Form 4 Submitting a PASRR NCMUST / Provider Link 5 Notification Letters 6
More informationFREQUENTLY ASKED QUESTIONS Iowa PASRR Onsite Provider Training 10/18/ /21/2016
Below you will find the frequently asked questions for the multi location Onsite Provider Training conducted. Answers to these questions were based on knowledge and policy as of 10/18/2016. Due to policy
More informationPUBLIC MEETING LONG-TERM CARE WAIVER ENROLLMENT MANAGEMENT SYSTEM (EMS) Presented by: Florida Department of Elder Affairs Staff
PUBLIC MEETING LONG-TERM CARE WAIVER ENROLLMENT MANAGEMENT SYSTEM (EMS) Rick Scott, Governor Charles T. Corley, Secretary Presented by: Florida Department of Elder Affairs Staff Introductions & Purpose
More informationMedicaid Transformation
Medicaid Transformation Debra Farrington Senior Program Manager August 18, 2017 Medicaid Managed Care Already Exists in NC What North Carolina Has Now PRIMARY CARE CASE MANAGEMENT (CCNC) Primary care provider-based
More informationINDIANA PASRR Level I & Level of Care Screening Procedures for Long Term Care Services Provider Manual
INDIANA PASRR Level I & Level of Care Screening Procedures for Long Term Care Services Provider Manual DEVELOPMENT DATE: 2.2.2016 MOST RECENT REVISION: 8.3.2016 2016 ASCEND MANAGEMENT INNOVATIONS LLC.
More informationIowa PASRR for Providers. A brief introduction to
Iowa PASRR for Providers A brief introduction to Iowa s PASRR process 1 Why are PASRR Level I screens and Level II evaluations important? Mental health services in nursing facilities make a difference
More informationDEVELOPING A MEDICAID SUPPORTIVE HOUSING SERVICES BENEFIT
DEVELOPING A MEDICAID SUPPORTIVE HOUSING SERVICES BENEFIT CONSIDERATIONS AND DECISION POINTS EXECUTIVE SUMMARY This tool is designed to assist States in the development of a Medicaid benefit to pay for
More informationA Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports
A Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports California Department of Health Care Services, Home and Community Based Services Universal Assessment Workgroup February
More informationHOSPICE POLICY UPDATE
#02-56-13 Bulletin June 24, 2002 Minnesota Department of Human Services # 444 Lafayette Rd. # St. Paul, MN 55155 OF INTEREST TO County Directors Administrative contacts AC, EW, CAC, CADI, TBI DD Waiver
More informationHCBS-AMH General Program FAQ's
General Program FAQ's HCBS-AMH 1. Why was the decision made to do a State Plan Amendment 1915(i) rather than a 1915(c) Medicaid waiver? The decision to seek a SPA rather than a waiver was made because
More informationINTERNATIONAL MEETING: HEALTH OF PERSONS WITH ID SPONSORED BY THE CDC AND AUCD
INTERNATIONAL MEETING: HEALTH OF PERSONS WITH ID SPONSORED BY THE CDC AND AUCD Anita Yuskauskas, Ph.D. Centers for Medicare & Medicaid Services CMSO Disabled & Elderly Health Programs Group February 24,
More informationWebinar Assistance
The Power and Possibility of PASRR Webinar Series Webinar Assistance http://www.pasrrassist.org/resources/webinar-assistance-and-faqs Call-in through one of two ways listed below: Telephone: 1. Locate
More informationOBRA 87 & PASRR? Training Goals
Alabama Department of Mental Health Alabama Medicaid Certified Nursing Homes Preadmission Screening & Resident Review (PASRR) for Mental Illness Intellectual Disability & Related Condition Angela Howard
More informationLong-Term Care Improvements under the Affordable Care Act (ACA)
Long-Term Care Improvements under the Affordable Care Act (ACA) South Carolina Health Care Implementation Coalition September 17, 2010 JoAnn Lamphere, DrPH Director, State Government Relations Health &
More informationHousing as Health Care Webinar. Wrapping Tenancy Supports into Your Housing Strategy
Housing as Health Care Webinar Wrapping Tenancy Supports into Your Housing Strategy National Governors Association Friday, October 28th, 2016 12-1pm EST Dial-in: 888-858-6021; Passcode 2026245354 1 Agenda
More informationLong-Term Services and Supports (LTSS): Medicaid s Role and Options for States
Long-Term Services and Supports (LTSS): Medicaid s Role and Options for States Erica L. Reaves, Policy Analyst State Variation in Long-Term Services and Supports: Location, Location, Location National
More informationAdult Day Health Services Across States: Results from a 50-State Survey of State Health Policies
Adult Day Health Services Across States: Results from a 50-State Survey of State Health Policies Sandra Howell-White, Ph.D. Nancy Scotto Rosato, M.A. Judith A. Lucas, APRN, BC, Ed.D. Funded by The Robert
More informationCommunity First Choice: Technical Assistance PRESENTED ON: JULY 13, 2015
Community First Choice: Technical Assistance PRESENTED ON: JULY 13, 2015 Announcements This webinar will be recorded and posted to the Texas Council Intranet site. An announcement will be sent to the IDD
More informationCouncil on Aging. Independence. Resources. Quality of Life. Guide to Programs and Services
Council on Aging Independence. Resources. Quality of Life Guide to Programs and Services About Council on Aging As the Area Agency on Aging for Butler, Clermont, Clinton, Hamilton and Warren counties,
More informationOverview for Acute, Hospital & Ancillary Care Providers
Overview for Acute, Hospital & Ancillary Care Providers Agenda Overview Medicaid Waivers and Plan Network Services Prior Authorization and Clinical Information Billing and Claims Information Resources
More informationNursing facility-based level of care assessment and determination process for children.
ACTION: Original DATE: 10/27/2017 9:30 AM 5160-3-10 Nursing facility-based level of care assessment and determination process for children. (A) This rule describes the processes and timeframes for a child's
More informationResults of February 2012 Survey on Medicaid Funded Long Term Services and Supports. Assessments, Reassessments and Care Plans
Results of February 2012 Survey on Medicaid Funded Long Term Services and Supports Assessments, Reassessments and Care Plans Overview In response to requests for assistance by two members, the National
More informationRate-Setting Strategies to Advance Medicaid Managed Long-Term Services and Supports Goals: State Insights
Rate-Setting Strategies to Advance Medicaid Managed Long-Term Services and Supports Goals: State Insights Tuesday, August 16, 2016 1:00-2:30 pm ET Made possible by the West Health Policy Center www.chcs.org
More informationTransitions and Long-Term Care: The Minimum Data Set 3.0 Section Q and Money Follows the Person
Transitions and Long-Term Care: The Minimum Data Set 3.0 Section Q and Money Follows the Person 2 Agenda Housekeeping/Introductions An overview of the Minimum Data Set (MDS) 3.0 Section Q An overview of
More informationWyoming CME Clinical Eligibility Criteria
Wyoming CME Clinical Eligibility Criteria Version 1.0 Effective Date: Nov. 16, 2016 Wyoming CME Clinical Eligibility Criteria 2016 Magellan Health, Inc. Table of Contents Wyoming CME Clinical Eligibility
More informationStrengthening Long Term Services and Supports (LTSS): Reform Strategies for States
Advancing innovations in health care delivery for low-income Americans Strengthening Long Term Services and Supports (LTSS): Reform Strategies for States March 6, 2018 Michelle Herman Soper and Alexandra
More informationUnitedHealthcare Community Plan. Intellectually/Developmentally Disabled Benefits Supplement (TTY: 711) myuhc.com/communityplan KANSAS
KANSAS UnitedHealthcare Community Plan Intellectually/Developmentally Disabled Benefits Supplement 1-877-542-9238 (TTY: 711) myuhc.com/communityplan 953-CST4074 2/14 2014 United HealthCare Services, Inc.
More information