OH PASRR Evaluation Summary 2019-2025 free printable template

Ohio Department of Developmental DisabilitiesPASRR EVALUATION SUMMARY (Please use the fillable form or Print legibly) Last NameFirst Name Date of Birth (MM/DD/YYY)Middle Name/Initial F County Board

How to fill out OH PASRR Evaluation Summary

How to fill out OH PASRR Evaluation Summary

1. Gather necessary documentation related to the individual's mental health and physical condition.
2. Obtain consent from the individual or their legal representative to conduct the assessment.
3. Fill out personal information, including name, date of birth, and Medicaid number.
4. Document the individual's clinical history, including diagnoses and any previous evaluations.
5. Include information on the individual's functional abilities and limitations.
6. Provide details about current medications and treatments being administered.
7. Summarize any previous hospitalizations or significant medical events.
8. Ensure all sections are completed accurately and review for clarity.
9. Submit the completed OH PASRR Evaluation Summary to the appropriate authorities.

Who needs OH PASRR Evaluation Summary?

1. Individuals seeking admission to a nursing facility who have suspected or confirmed mental illness or intellectual disabilities.
2. Healthcare providers responsible for evaluating patients before placement in long-term care facilities.
3. Case managers and social workers involved in the care coordination for individuals with mental health conditions.

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What is OH PASRR Evaluation Summary?

The OH PASRR Evaluation Summary is a document that provides a comprehensive assessment of an individual's mental health and/or intellectual disability needs as part of the Preadmission Screening and Resident Review (PASRR) process in Ohio.

Who is required to file OH PASRR Evaluation Summary?

Any Ohio nursing facility that is seeking to admit an individual who may have a serious mental illness or intellectual disability is required to file the OH PASRR Evaluation Summary.

How to fill out OH PASRR Evaluation Summary?

To fill out the OH PASRR Evaluation Summary, complete all required sections accurately based on the individual's clinical evaluations, demographic information, and any relevant medical history. Ensure that all data is current and complete before submission.

What is the purpose of OH PASRR Evaluation Summary?

The purpose of the OH PASRR Evaluation Summary is to ensure that individuals with mental health and intellectual disabilities receive appropriate care and services in the most integrated setting possible.

What information must be reported on OH PASRR Evaluation Summary?

The information that must be reported includes the individual's demographics, clinical and evaluation results, diagnosis, support needs, and recommendations for appropriate services and settings.