"Appropriate placement" is the placement of an individual with mental illness and/or intellectual disability or related condition in a NF when the individual's needs meet the minimum standards for admission to a NF and do not exceed the level of services which can be delivered in the particular NF to which the individual is admitted. A particular NF is not an appropriate placement either when its normal nursing services are inadequate to meet the needs of the individual, or when the individual is unable to access necessary specialized services at that facility.

"DDA PASRR assessor" is a DDA employee who performs PASRR level II evaluations, as described in section 388-834-0020 WAC.

"Intellectual disability or related condition" means a condition that meets the criteria listed in 42 C.F.R. §483.102 (b)(3) and 42 C.F.R. §435.1010. A client enrolled in DDA is already determined to have a condition meeting these criteria, but eligibility for DDA is not required for a determination that an individual has an intellectual disability or related condition.

"PASRR level I screening" means a screening that is completed when an individual is referred to a medicaid-certified nursing facility by a physician, hospital, or other referring entity or when a NF resident experiences a significant change of condition.

"PASRR level II evaluation" means an evaluation that is completed when a possible intellectual disability or related condition or serious mental illness is identified by the PASRR level I screening. The level II determines whether the person: has an intellectual disability or related condition, needs nursing facility care, and needs specialized services for intellectual disability or related condition or serious mental illness while in the nursing facility.

"Specialized service" means a service or device, in addition to nursing facility care, required by a nursing facility resident who has an intellectual disability or related condition to function with as much self-determination and independence as possible and/or to preserve or increase the individual's functional status per 42 C.F.R. §483.120.