Pennsylvania Code › Title 55 - HUMAN SERVICES › Part III - MEDICAL ASSISTANCE MANUAL › Chapter 1181 - NURSING FACILITY CARE › Subchapter D - NURSING HOME REFORM-STATEMENT OF POLICY › APPEALS OF ADVERSE DETERMINATIONS › Appendix P - INITIAL RESIDENT REVIEWS REQUIRED BY OBRA-87 LEGISLATION

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Several counties were involved as LAMP sites, and
						OBRA screenings began on January 1, 1989. Therefore, nursing facilities shall
						complete the PA-PASARR-ID forms and, if necessary, the Facility Report Form for
						individuals who were admitted prior to January 1, 1989.
(1) The January 1, 1989 date applies to the following
						counties:
Allegheny
Schuylkill
Erie
Westmoreland
Luzerne
Wyoming
Philadelphia
York
Allegheny
Schuylkill
Erie
Westmoreland
Luzerne
Wyoming
Philadelphia
York
(2) Nursing facilities in the remaining 59 counties of
						this Commonwealth shall complete the PA-PASARR-ID form and the Facility Report
						Form (if necessary) for individuals who were admitted prior to March 1,
						1989.
(b) When completing the PA-PASARR-ID form, the exemption
						for severe medical conditions, (question 1E), may be used for an individual in
						the target group, only if the person's medical condition is so severe that the
						person is too sick to benefit from a plan of active treatment for mental
						illness, mental retardation or other related condition in the foreseeable
						future.
(c) A person whose PA-PASARR-ID form indicates that
						further assessment is needed, shall be identified by name, MA ID number (if
						applicable), and conditions to be assessed on the Facility Report Form.
						Instructions are available on the reverse side of the form.
(1) When completing the Facility Report Form, if more
						space is needed for additional names, copies should be made by the nursing
						facility. If a nursing facility has no individuals identified as needing
						further evaluation, this form still shall be completed and marked in the
						appropriate box as having no identified individuals. The completed form shall
						be returned January 8, 1990 to the following address:
Department of Public Welfare
Office of Medical Assistance Programs
Division of Long Term Care
Client Services
Post Office Box 2675
Harrisburg, Pennsylvania 17105
or
FAX: (717) 731-7060
(2) This review does not include individuals who have
						been discharged from the nursing facility or who are deceased.
(3) Reviews of individuals identified as needing further
						evaluation to determine the need for active treatment will be done by the
						Inspection of Care teams. If possible, these reviews will be performed
						concurrent with the nursing facility's annual Inspection of Care review. If the
						Inspection of Care review has already occurred, and the next review is not due
						until after April 1, 1990, a member of the Inspection of Care team will come to
						the nursing home to review recipients identified as needing further
						evaluation.
(d) Failure to submit the required information in a
						timely manner may result in loss of MA funding for MA patients in the
						facility.