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Pae certification form

Pae certification form 2025

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The document is a Nursing Facility PAE Certification Form that requires the applicant's personal information, medical history, and physician certification to determine eligibility for long-term care services. It outlines necessary attachments, including recent medical records and physician orders for skilled nursing or rehabilitative services. The form emphasizes the importance of accurate information to avoid fraud under state and federal laws.

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Versions	Form popularity	Fillable & printable
2015	4 Satisfied (60 Votes)
2014	4.9 Satisfied (21 Votes)

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What is the medical certification form?

The medical certification is a short form completed by a health care provider. Its provided to the employer to establish the workers or family members medical condition that qualifies for FMLA-protected leave. The FMLA doesnt require a specific certification form.

What is the level of care acuity?

What is patient acuity? Patient acuity refers to the severity of an illness or medical condition. It is often used to designate which clients should be seen first. For example, a high-acuity patient is one who is severely ill and should receive care before others.

What is a pae in TennCare?

TennCare uses medical information provided on the Pre Admission Evaluation (PAE) application to determine medical eligibility (level of care) for long term care programs.

What is the level of care acuity scale for TennCare?

The Maximum possible Total Nursing Facility Level of Care acuity score (total NF LOC acuity score) is 26. This can be expressed as: Total NF LOC acuity score = Acuity score for Activities of Daily Living (ADL) or related deficiencies + Acuity score for skilled and/or rehabilitative services.