Pennsylvania Code › Title 55 - HUMAN SERVICES › Part III - MEDICAL ASSISTANCE MANUAL › Chapter 1181 - NURSING FACILITY CARE › Subchapter D - NURSING HOME REFORM-STATEMENT OF POLICY › PREADMISSION SCREENING PROGRAM › Section 1181.543 - Agencies that manage the evaluation process

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Preadmission screening
					 process
. For an individual subject to the preadmission screening
					 process, relevant determinations shall be made by the State mental health,
					 mental retardation and developmental disability authority. In this
					 Commonwealth, the Department is that authority. The authority is required to
					 make a determination of whether the referred individual requires nursing
					 facility services and, if the individual does, whether the individual requires
					 active treatment. The Department will notify the designated evaluation agency
					 and each individual involved of its determination using Form
					 PA-PASARR-YN.
(b)
Determination by Department
. The Department is required to
					 base its determination on an independent physical and mental evaluation
					 performed by a person or entity other than the Department. The Department will
					 therefore not perform the evaluations itself, but will utilize evaluations
					 performed by the Department of Aging through its LAMP sites and other
					 authorized agents. The Department of Aging will utilize Form PA-PASARR-EV as
					 the protocol for the evaluations.
(c)
LAMP site counties
.
(1)
General
. The Department,
					 in cooperation with the Department of Aging, is already conducting preadmission
					 screening with respect to persons eligible for MA in counties which have LAMP
					 sites. LAMP assesses the need for nursing facility services in light of the
					 condition of the individual involved in the assessment and of the alternatives
					 available for the care of that individual outside of a nursing facility in the
					 individual's community. LAMP will continue to be available for the assessment
					 of individuals eligible for MA. In designated counties, LAMP will be the agency
					 to which providers will refer applicants for admission to the nursing facility
					 who have been determined to require further determination after the
					 administration of Form PA-PASARR-ID.
(2)
Definition
. The term
					 "LAMP site" refers to a site doing both LAMP and OBRA assessments and providing
					 alternative community services.
(3)
Counties
. The counties where OBRA evaluations will be done by
					 LAMP sites and the addresses and telephone numbers of the sites are:
County
AAA
								  Information
Allegheny
Allegheny County Department of
								  Aging 416 County Office Building Pittsburgh, Pennsylvania 15219 (412) 355-4305
Erie
Greater Erie Community Action
								  Committee Erie County Area Agency on Aging 18 West Ninth Street Erie,
								  Pennsylvania 16501 (814) 459-4581
Luzerne and Wyoming
Luzerne/Wyoming
								  Counties Bureau for Aging 111 North Pennsylvania Boulevard Wilkes-Barre,
								  Pennsylvania 18701 (717) 822-1158
Philadelphia
Philadelphia Corporation for
								  Aging 111 North Broad Street Philadelphia, Pennsylvania 19107 (215) 496-0520
Schuylkill
Schuylkill County Area Agency
								  on Aging 13-15 North Centre Street Pottsville, Pennsylvania 17901 (717)
								  622-3103
Westmoreland
Westmoreland County Office
								  on Aging 2482 South Grande Boulevard Greensburg, Pennsylvania 15601 (412)
								  836-1111
York
York County Area Agency on Aging 141
								  West Market Street York, Pennsylvania 17401 (717) 771-9610