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PRINTED: 02/20/2020
FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION
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How to fill out medicaid program preadmission screening
How to fill out medicaid program preadmission screening
01
Contact your state's Medicaid office to obtain the necessary forms for preadmission screening.
02
Fill out the forms completely and accurately, providing all requested information.
03
Submit the forms to the Medicaid office along with any supporting documentation that may be required.
04
Wait for a response from the Medicaid office regarding the approval or denial of the preadmission screening.
Who needs medicaid program preadmission screening?
01
Individuals who are seeking long-term care services through the Medicaid program.
02
Individuals who are applying for admission to a nursing home or other long-term care facility that accepts Medicaid funding.
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What is medicaid program preadmission screening?
Medicaid program preadmission screening is a process to determine an individual's eligibility for Medicaid services before admission to a nursing facility or intermediate care facility.
Who is required to file medicaid program preadmission screening?
Healthcare providers and facilities are required to file medicaid program preadmission screening for each individual seeking Medicaid services.
How to fill out medicaid program preadmission screening?
Medicaid program preadmission screening can be filled out by healthcare professionals with the necessary information about the individual seeking Medicaid services.
What is the purpose of medicaid program preadmission screening?
The purpose of medicaid program preadmission screening is to assess an individual's care needs and determine the appropriate level of care required.
What information must be reported on medicaid program preadmission screening?
Information such as medical history, current health status, and daily care needs must be reported on medicaid program preadmission screening.
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