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Get the free OBRA PASRR Level I Screening Form

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This Level I Screening Form must be completed prior to admission into a Medicaid Certified Nursing Facility. Failure to complete this form accurately may result in Medicaid Recoupments. PLEASE Prostate
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01
To fill out Obra PASRR Level I form, follow these steps:
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Start by entering the required information at the top of the form, such as the individual's name, date of birth, and contact information.
03
Provide details about the individual's current living situation, including whether they reside in a nursing facility or community setting.
04
Answer questions related to the individual's mental health, such as any history of mental illness, symptoms, or behavioral concerns.
05
Fill out information about the individual's cognitive abilities, including any cognitive impairments or decline in functioning.
06
Provide information about the individual's physical health, including any chronic medical conditions or physical disabilities.
07
Answer questions related to the individual's substance abuse history, if applicable.
08
Complete the form by providing any additional relevant information or comments.
09
Review the filled-out form for accuracy and completeness before submitting it.

Who needs obra pasrr level i?

01
Obra PASRR Level I is needed for individuals who potentially require long-term care services.
02
This form is generally required for individuals who are seeking admission to a nursing facility or who are already residing in a nursing facility.
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It is also necessary for individuals who may have mental health or intellectual disability concerns that may impact their care needs.
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OBRA PASRR Level I is a federally mandated assessment for individuals seeking admission to a Medicaid-certified nursing facility.
Individuals seeking admission to a Medicaid-certified nursing facility are required to file OBRA PASRR Level I assessment.
To fill out OBRA PASRR Level I, individuals can consult with the nursing facility staff or healthcare professionals who are responsible for conducting the assessment.
The purpose of OBRA PASRR Level I is to determine if an individual seeking admission to a Medicaid-certified nursing facility has any mental illness, intellectual disability, or related condition that requires specialized services.
Information such as medical history, mental health status, cognitive functioning, and any existing diagnoses must be reported on OBRA PASRR Level I.
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