Pasrr form florida 2025

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  1. Click ‘Get Form’ to open the PASRR Level I Screening form in the editor.
  2. Begin by filling in the 'Present Location of Individual Being Evaluated' section. Select the appropriate location (NF, Hospital, Home, etc.) and provide the individual's Social Security Number and Date of Birth.
  3. Complete the personal details of the individual being evaluated, including their name, age, gender, address, and contact information.
  4. In Section I, indicate the nature of the request for PASRR screening by checking either 'Request for admission to an NF' or 'Resident Review'. Also note any significant physical or mental changes.
  5. Proceed to Section II to check any applicable disorders under SMI or ID. Provide additional information as necessary.
  6. Fill out Section III regarding provisional determinations if applicable. Ensure that all required signatures are included.
  7. Finally, complete Section IV by indicating whether the individual may be admitted to the NF and distribute copies as required.

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Level 2 care includes Intensive Outpatient (IOP), followed closely by Partial Hospitalization Program (PHP). Usually PHP and IOP programs are both provided at the same location. This may be separate or attached to another level of care.
A Level 2 Evaluation is a person-centered evaluation that is completed for anyone identified by the Level 1 Screening as having, or suspected of having, a PASRR condition, i.e., serious mental illness (SMI), intellectual disability (ID), developmental disability (DD), or related condition (RC).
Preadmission Screening and Resident Review (PASRR) is guided by federal regulations that require all individuals being considered for admission to a Medicaid-certified nursing facility (NF) be screened prior to admission, to determine if the person has, or is suspected of having, a mental illness, intellectual
The purpose of PASRR is to ensure that individuals being considered for admission to a Medicaid certified nursing facility (NF) are evaluated for evidence of possible PASRR conditions, i.e., serious mental illness (SMI), intellectual disability (ID), developmental disability (DD), or a related condition (RC).
Evaluators are licensed Florida clinicians and include Registered Nurses, Mental Health Professionals and Licensed Clinical Social Workers.

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Level 2 (emergent) requires an immediate nursing assessment and rapid treatment and includes patients who are in a high-risk situation, are confused, lethargic, or disoriented, or have severe pain or distress, including patients with stroke, head injuries, asthma, and sexual-assault injuries.

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