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PDFWAC 388-834-0035

Can an individual be admitted to a nursing facility before the PASRR level II evaluation is completed?

(1) If a level I screening does not identify a possible serious mental illness or intellectual disability or related condition, the individual may be admitted to a nursing facility directly.
(2) If a level I screener has referred an individual for a level II evaluation, the individual cannot be admitted to a nursing facility until the level II evaluation is completed, except when:
(a) The individual is admitted directly from a hospital after receiving acute inpatient care;
(b) The individual requires nursing facility services for the condition for which he or she received care in the hospital; and
(c) The individual's attending physician has certified in the PASRR level I that the individual is likely to require fewer than thirty days of nursing facility services.
(3) A DDA PASRR evaluator may do an abbreviated evaluation that is sufficient to determine whether the individual has an intellectual disability or related condition, whether the individual meets nursing facility level of care requirements, and whether the individual needs specialized services at that time, with the full PASRR level II report to follow.
(4) A DDA PASRR evaluator may categorically determine that specialized services are not needed for the following types of admission:
(a) Protective services stay of not more than seven days;
(b) Respite in a NF for not more than thirty days.
(5) Categorical determinations for DDA clients can only be made by a DDA PASRR evaluator.
[Statutory Authority: RCW 71A.12.030, 71A.12.140, 42 C.F.R. 483.100 through 138. WSR 15-24-027, ยง 388-834-0035, filed 11/20/15, effective 12/21/15.]
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