Virginia Administrative Code › Title 12 - HEALTH › Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES › Chapter 130 - AMOUNT, DURATION AND SCOPE OF SELECTED SERVICES › Part III - Preadmission Screening and Annual Resident Review › Section 12VAC30-130-220 - Placement options

Current through Register Vol. 40, No. 24, July 15, 2024
A. The placement
				  options and required state actions resulting from PASARR are as follows:
1. Can be admitted to a NF. Any applicant for
				  admission to a NF who has MI or MR/RC and who requires the level of services
				  provided by a NF, regardless of whether specialized services are also needed,
				  may be admitted to a NF, if the placement is appropriate. If specialized
				  services are also needed, the state is responsible for providing or arranging
				  for the provision of the specialized services.
2. Cannot be admitted to a NF. Any applicant
				  for admission to a NF who has MI or MR/RC and who does not require the level of
				  services provided by a NF, regardless of whether specialized services are also
				  needed, is inappropriate for NF placement and must be not be
				  admitted.
3. Can be considered
				  appropriate for continued placement in a NF. Any NF resident with MI or MR/RC
				  who requires the level of services provided by a NF, regardless of the length
				  of his or her stay or the need for specialized services, can continue to reside
				  in the NF, if the placement is appropriate.
4. May choose to remain in the NF even though
				  the placement would otherwise be inappropriate. Any NF resident with MI or
				  MR/RC who does not require the level of services provided by the NF but does
				  require specialized services and who has continuously resided in a NF for at
				  least 30 consecutive months before the date of determination may choose to
				  continue to reside in the facility or to receive covered services in an
				  alternative appropriate institutional or noninstitutional setting. Wherever the
				  resident chooses to reside, the state must meet his or her specialized services
				  needs. The determination notice must provide information concerning how, when,
				  and by whom the various placement options available to the resident will be
				  fully explained to the resident.
5.
				  Cannot be considered appropriate for continued placement in a NF and must be
				  discharged (short-term residents). Any NF resident with MI or MR/RC who does
				  not require the level of services provided by a NF but does require specialized
				  services and who has resided in a NF for less than 30 consecutive months be
				  discharged to an appropriate setting where the state must provide specialized
				  services. The determination notice must provide information on how, when, and
				  by whom the resident will be advised of discharge arrangements and of his/her
				  appeal rights under both PASARR and discharge provisions.
6. Cannot be considered appropriate for
				  continued placement in a NF and must be discharged (short or long-term
				  residents). Any NF resident with MI or MR/RC who does not require the level of
				  services provided by a NF and does not require specialized services regardless
				  of his or her length of stay, must be discharged. The determination notice must
				  provide information on how, when and by whom the resident will be advised of
				  discharge arrangements and of his or her appeal rights under both PASARR and
				  discharge provisions.
7.
				  Specialized services needed in a NF. If a determination is made to admit or
				  allow to remain in a NF any individual who requires specialized services, the
				  determination must be supported by assurances that the specialized services
				  that are needed can and will be provided or arranged for in a timely manner by
				  the state which the individual resides in the NF.