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G. If SCREEN Item 23 or 32 is a NO A referral for a PASRR Level II Mental Health Evaluation is not required. h. ATTESTATION CHECKLIST PASRR Level II Adult Mental Health Evaluation Intake Client Name I the under-signed am requesting a PASRR Level II Adult Mental Health evaluation and have prepared all the documents listed below for the assessor. I. SCREEN Item 34 can only completed after the Notification of Need for Level II Evaluation is signed on page 7 of the SCREEN form. Failure to...

How to fill out 656 pasrr form

How to fill out 656 pasrr:

1. Gather all necessary information and documents before starting the process. This may include personal identification, medical records, and any relevant supporting documentation.
2. Begin by carefully reading through the instructions provided with the 656 pasrr form. Familiarize yourself with the requirements and questions asked on the form.
3. Fill out the personal information section completely and accurately. This may include your name, address, contact information, and any other identifying details.
4. Provide detailed information about the individual who is the subject of the pasrr. This includes their name, date of birth, social security number, and any other relevant details.
5. Answer all the questions on the form thoroughly and truthfully. Take your time to carefully consider each question before providing a response.
6. Attach any necessary supporting documentation, such as medical records, assessments, or evaluations. Make sure all documents are organized and labeled properly.
7. Review the completed form and double-check for any errors or missing information. Ensure that all sections have been filled out correctly and that all required documentation is attached.
8. Sign and date the form in the designated area.
9. Make copies of the completed form and all supporting documentation for your records.
10. Submit the filled-out pasrr form and supporting documentation to the appropriate agency or organization as specified in the instructions.

Who needs 656 pasrr?

1. Individuals who are being considered for admission to a nursing facility or specialized services for individuals with intellectual or developmental disabilities.
2. Anyone who requires a Level I or Level II pasrr evaluation as part of the screening process.
3. The pasrr is necessary to determine if an individual is eligible for Medicaid reimbursement for the services they require in a nursing facility or specialized service setting.
4. It is also required to ensure that individuals with mental illness, intellectual disabilities, or related conditions receive the appropriate level of care and services they need.

Please note that specific requirements and procedures may vary depending on the jurisdiction and agency involved. It is essential to refer to the instructions and guidelines provided by the relevant authorities.

For pdfFiller’s FAQs

What is 656 pasrr?

656 pasrr is a form used for Pre-Admission Screening and Resident Review in long-term care facilities.

Who is required to file 656 pasrr?

Long-term care facilities are required to file 656 pasrr for residents who are seeking admission or are already residing in the facility.

How to fill out 656 pasrr?

656 pasrr can be filled out by gathering information about the resident's medical and mental health history, assessing their needs, and documenting any services or treatments they require.

What is the purpose of 656 pasrr?

The purpose of 656 pasrr is to determine the level of care needed by residents in long-term care facilities and ensure that they receive appropriate services.

What information must be reported on 656 pasrr?

Information about the resident's medical history, mental health status, treatment needs, and any services they require must be reported on 656 pasrr.

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