Bock Associates 221 West 2 nd Street, Suite 607 Little Rock, AR 72201
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1 Bock Associates 221 West 2 nd Street, Suite 607 Little Rock, AR State Project Director- Bliss Beeman, RN Clinical Associate- Shelley Smith, RN Administrative Assistant- Viki DeClerk bockarkansas@gmail.com PHONE FAX Website: bock-associates.com
2 Terminology PASRR = Pre-admission Screening/Resident Review Level I = 703, 787, 780 forms Level II = Face to Face Evaluation by Bock Assessor MI = Mental Illness ID = Intellectual Disability DD = Developmental Disability
3 Who requires a PASRR prior to admission to a nursing facility? Any new admission that is applying to a Medicaid Certified Nursing Facility that has a diagnosis of: ü mental illness, ü Intellectual disability (mental retardation) and/or developmental disability, ü or if the individual is considered to be homicidal and/or suicidal (a danger to self or others.)
4 The PASRR Level II Evaluation has three main aims: 1. To confirm whether the applicant has MI/ID and to determine if they are a danger to self/others; 2. To assess the applicant s need for nursing facility service; (do they meet NF medical criteria) 3. To assess whether the applicant requires specialized services or specialized rehabilitative services.
5 How does the PASRR process start? Complete the 703 form Complete the 787 form In addition to the above: üif Dementia is present, complete the 780 form FAX THE FORMS THAT APPLY TO BOCK ASSOCIATES FOR REVIEW
6 Fax these supporting documents with the Level I form if they are available: ü History & Physical ü Psychological Evaluation ü Medication Record (MAR) ü Discharge Summary from previous hospitalizations ü Power of Attorney/ Legal Guardianship Papers
7 787 REVIEW Mental Retardation/Developmental Disability 1. Does the individual have a diagnosis OR history of Mental Retardation OR a related condition? YES or NO If yes, specify diagnosis/es qmental Retardation qcerebral Palsy qautism qepilepsy/seizure qother (Traumatic Brain Injury, Spina Bifida)
8 A. Did the Mental Retardation develop before the Individual reached age 18? q YES q NO B. Did the Developmental Disability (TBI/Seizures) develop before the individual reached age 22? q YES q NO Hint: TBI &/or Epilepsy/ Seizure Disorder that occurred AFTER age 22 does NOT require a PASRR, but you must mark NO in question B.
9 4. Does the individual s behavior or recent history indicate s/he is a danger to self (suicidal or self-injurious) or others (combative)? YES or NO If yes, please comment. (Provide details regarding suicidal/homicidal behaviors) **Also if you answer YES to the above, we will request a No Harm Statement from the physician to certify client is no longer a danger prior to entering into the NF.
10 Mental Illness 1. Does the individual have a diagnosis or history of mental illness? YES or NO q Schizophrenia q Schizoaffective q Delusional (Paranoia) q Somatoform q Psychosis q Major Depression q Panic or Anxiety Disorder q Bipolar Disorder q Other (Post Traumatic Stress D/O, Obsessive Compulsive D/O)
11 Remember PASRR is for clients with serious or suspected serious mental illness Depression &/or Anxiety that has only been treated by PCP, considered situational and client is not considered danger to self or others does NOT require a PASRR - Questions to help determine: 1) Any Inpatient psyc treatment? Had to be hospitalized due to depression? 2) Any outpatient interventions- tx at community mental health centers? 3) hx of ECT Depression vs Major Depression 4) Hx of suicide attempts
12 PASRR Federal Regulations 42 CFR Part 483, Subpart C - Preadmission Screening and Annual Review of Mentally Ill and Mentally Retarded Individuals The federal regulations regarding PASRR have never been changed since its origination in 1987 PASRR is not based on specific diagnosis codes or medications prescribed but an overview of the clients presentation, behaviors, diagnosis and treatment history We look at the overall picture of the client when deciding who is PASRR vs NON- PASRR
13 2. Has the individual been prescribed any psychotropic medications on a regular basis in the absence of a confirmed mental disorder? If yes, please list medications. *This question prompts you to review the client s medication list. MEDS ALONE do not constitute a PASRR PASRR is based on the client s diagnosis/behaviors. Does the client have any anti-depressants, anti-psychotics, antianxiety meds listed? How about an anti-convulsant in the absence of a seizure disorder? If Yes, probe further into WHY the client has been prescribed these medications.
14 3. Is there any presenting evidence of disturbance in the orientation, affect, mood, or behavior that suggests mental illness? 4. Has the individual received treatment within the last two years by any of the following caregivers? YES OR NO qmental Hospital qhospital Psychiatric Unit **If yes, ask more questions related to WHY client was hospitalized. Has client had outpatient psychiatric treatment? How recent and for how long?
15 5. List the name and address of any individual or agency providing diagnosis or treatment for Mental Illness. **Use this space to provide ANY details related to the MI diagnosis. ü Date of Onset ü Treatment Providers (Inpatient vs. Outpatient) ü Family Knowledge ü Psychiatrist vs. Primary Care Physician 6. Does the individual s behavior or recent history indicate that s/he is a danger to self or others? If yes, please comment.
16 7. Is there a diagnosis of Dementia, Organic Brain Syndrome (OBS), Alzheimer s or any related organic disorders? YES or NO IF YES, COMPLETE DMS-780 FORM. ** The last two questions of the 780 form are very important indicators of the need for PASRR so don t overlook them. ØIs the mental Illness the primary diagnosis? Yes or No ØDid the mental Illness exist prior to the onset of Dementia? Yes or No
17 Does a diagnosis of Dementia or Major Neurocognitive Disorder require a PASRR screening? Dementia as a stand alone diagnosis does NOT require a PASRR unless the client is considered to be homicidal &/or suicidal (a danger to self or others) OR the client has a pre-existing diagnosis of a serious mental illness, intellectual disability, &/or developmental delay.
18 IN , THERE WERE 8745 TOTAL # OF LEVEL Is SUBMITTED TO BOCK ASSOCIATES FOR DETERMINATIONS # of Level II/PAS completed = 972 NON-PASRR (4585) PASRR (4160)
19 We do not keep records for NON-PASRR clients. If they are non-pasrr, we forward to OLTC and shred the applications. If you are receiving this fax often, you are sending in too many unnecessary apps to be processed. Please take time to review the criteria again!!
20 One last time.. Who requires a PASRR prior to admission to a nursing facility? Any individual that is applying to a Medicaid Certified Nursing Facility that has a diagnosis of: ü Serious mental illness, ü Intellectual disability and/or developmental disability, ü or if the individual is considered to be homicidal and/or suicidal (a danger to self or others.)
21 ATTENTION NURSING FACILITIES PLEASE DO NOT FORGET TO CALL BOCK ASSOCIATES WITH: üclients ADMISSION DATES üclients DISCHARGE DATES üclients TRANSFER DATES
22 Medical Eligibility The individual is unable to perform at least 1 of the 3 activities of daily living (ADL s) without extensive assistance from or total dependence upon another person. 1. Transferring/Locomotion 2. Eating 3. Toileting Extensive assistance means that the individual would not be able to perform or complete the activity of daily living without another person to aid in performing the complete task, by providing weight-bearing assistance. 22
23 The individual is unable to perform at least 2 of the 3 activities of daily living (ADL s) without limited assistance from another person. 1. Transferring/Locomotion 2. Eating 3. Toileting Limited assistance means that the individual would not be able to perform or complete the activity of daily living 3 or more times per week without another person to aid in performing the complete task, by guiding or maneuvering the limbs of the individual or by other non-weight bearing assistance. 23
24 The individual has a primary or secondary diagnosis of Alzheimer s disease or related dementia and is cognitively impaired so as to require substantial supervision from another individual because he or she engages in inappropriate behaviors which pose serious health or safety hazards to himself or others; 24
25 The individual has a diagnosed medical condition which requires monitoring or assessment at least once a day by a licensed medical professional and the condition if untreated, would be life-threatening. 25
Bock Associates 221 West 2 nd Street, Suite 607 Little Rock, AR 72201
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