
Get the free Vermont's PASRR Level I Form Technical Guide
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PARR Nursing Facility
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PLEASE PRINT LEGIBLY (All Fields are Required)
1. Name of Nursing Facility:
2. Business Address:
3. Business Phone Number:
4. Business Email (for correspondence from
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How to fill out vermonts pasrr level i

How to fill out vermonts pasrr level i
01
Obtain the PASRR Level I form from the Vermont Department of Aging and Independent Living.
02
Fill out the applicant's personal information including name, address, date of birth, and contact information.
03
Provide details about the applicant's medical history, diagnoses, and current medical needs.
04
Include information about the applicant's psychiatric history, including any past or current mental health diagnoses.
05
Sign and date the form once all sections are completed.
06
Submit the completed PASRR Level I form to the appropriate agency or healthcare provider for review.
Who needs vermonts pasrr level i?
01
Individuals who are seeking admission to a nursing home or specialized nursing facility in Vermont.
02
Anyone who has a history of mental illness or intellectual disability and requires specialized care in a long-term care setting.
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What is vermonts pasrr level i?
Vermont's PASRR Level I is a screening tool used to determine if an individual applying for Medicaid-funded nursing facility services has mental illness, intellectual disability, or related conditions.
Who is required to file vermonts pasrr level i?
Health care professionals involved in the admission process for individuals seeking Medicaid-funded nursing facility services are required to file Vermont's PASRR Level I.
How to fill out vermonts pasrr level i?
Vermont's PASRR Level I can be filled out by completing the assessment form, providing accurate information about the individual's mental health, intellectual disability, and related conditions.
What is the purpose of vermonts pasrr level i?
The purpose of Vermont's PASRR Level I is to ensure that individuals seeking Medicaid-funded nursing facility services receive appropriate care based on their mental health and intellectual disability needs.
What information must be reported on vermonts pasrr level i?
Information required to be reported on Vermont's PASRR Level I includes the individual's mental health history, intellectual disability diagnosis, and related conditions.
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