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This form is used to request exemptions and categorical determinations related to the PASRR Level I submission, including hospital discharge exemptions for individuals with serious mental illness
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How to fill out la pasrr level i

01
Gather the necessary information about the individual, including personal details and medical history.
02
Determine the individual's functional abilities and needs by assessing their daily living skills.
03
Complete the sections regarding the individual's mental health status, including any diagnoses and current treatments.
04
Document any behavioral concerns or challenges faced by the individual to provide context for the assessment.
05
Submit the completed Level I PASRR form to the appropriate authority for review.

Who needs la pasrr level i?

01
Individuals with mental illness or developmental disabilities who are being considered for admission to a nursing facility.
02
Patients whose medical history includes specific mental health diagnoses that may impact their care in a nursing home setting.
03
Residents who require additional evaluations to determine if specialized services or supports are necessary.
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LA PASRR Level I is a preliminary assessment tool used to determine whether an individual seeking admission to a Medicaid-funded nursing facility has a serious mental illness or intellectual disability.
Any individual applying for admission to a Medicaid-certified nursing facility is required to have a Level I PASRR assessment completed.
LA PASRR Level I can usually be filled out by nursing facility staff, including admissions personnel, or qualified healthcare professionals who need to gather required information related to the individual's mental and physical health.
The purpose of LA PASRR Level I is to identify individuals who may have mental health or intellectual disability issues, ensuring they receive appropriate care and evaluations before placement in a nursing facility.
LA PASRR Level I must include demographics, medical history, mental health status, and any functional limitations of the individual seeking admission.
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