WA DSHS 14-300 2017 free printable template

MedicaidCertified nursing facilities cannot admit prior to completion of PARR process. Level 1 Readmission Screening and Resident Review (PARR) This screening form applies to all persons being considered

How to fill out WA DSHS 14-300

How to fill out WA DSHS 14-300

1. Obtain the WA DSHS 14-300 form from the official DSHS website or your local DSHS office.
2. Read the instructions carefully to understand the requirements for filling out the form.
3. Fill in your personal information in the designated sections, including name, address, and contact information.
4. Provide the necessary details regarding your income, assets, and expenses as requested on the form.
5. Review your completed form to ensure all information is accurate and complete.
6. Sign and date the form where indicated.
7. Submit the form according to the specified submission guidelines, whether online or via mail.

Who needs WA DSHS 14-300?

1. Individuals applying for financial assistance or services from the Washington State Department of Social and Health Services (DSHS).
2. People who need to report changes in their personal circumstances that may affect their eligibility for state assistance programs.
3. Families seeking support programs such as Temporary Assistance for Needy Families (TANF) or food assistance.

People Also Ask about

What triggers a Pasrr Level 2?

When it is determined that an individual has a primary diagnosis of dementia and a secondary diagnosis of mental illness or intellectual disability. Conversely, a PASRR Level II must be requested if an individual has a primary diagnosis of an MI and/or ID and a secondary diagnosis of dementia.

Who can complete a Pasrr in Florida?

PASRR should always be completed prior to admission. Appropriately credentialed nursing facility staff are able to complete the screening anywhere, including at a hospice home, an assisted living facility, or even a hospital setting.

What do federal regulations mandate a preadmission screening and resident review Pasrr for?

​The Preadmission Screening and Resident Review (PASRR) is a federal program implemented in 1987 to: Prevent individuals with mental illness (MI), intellectual disability (ID) or related conditions (RC) from being inappropriately placed in a Medicaid certified nursing facility (NF) for long-term care.

What are the goals of Pasrr?

PASRR helps to ensure that individuals are not inappropriately placed in nursing homes for long term care.

What are the rules for Pasrr in Ohio?

PASRR regulations require that all individuals seeking admission to a Medicaid-certified nursing facility, regardless of payer source, be assessed for indications of serious mental illness and/or a developmental disability.

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What is WA DSHS 14-300?

WA DSHS 14-300 is a form used by the Washington State Department of Social and Health Services to collect necessary information for various social service programs.

Who is required to file WA DSHS 14-300?

Individuals applying for or receiving certain social services or financial assistance from the Washington State DSHS are required to file WA DSHS 14-300.

How to fill out WA DSHS 14-300?

To fill out WA DSHS 14-300, complete all required sections with accurate personal information, income details, and any other necessary documentation as specified in the instructions provided with the form.

What is the purpose of WA DSHS 14-300?

The purpose of WA DSHS 14-300 is to gather essential information that helps determine eligibility for public assistance programs and to ensure that individuals receive the appropriate services.

What information must be reported on WA DSHS 14-300?

Information that must be reported on WA DSHS 14-300 includes personal identification details, household income, employment status, and any other relevant financial or demographic information.