13441404, 59G-1.040 - Florida Administrative Rules, Law, Code, Register

Home

Florida Department of State and Division of Library and Information Services

Notice: 13441404

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

GENERAL MEDICAID

Overview

RULE:

59G-1.040

Preadmission Screening and Resident Review

PURPOSE:

The purpose of new Rule 59G-1.040 is to specify Florida Medicaid’s process required for Pre-Admission Screening and Resident Review (PASRR). The PASRR is a federally mandated process to help ensure individuals in need of long-term care services reside in the most appropriate and least restrictive setting possible, are not inappropriately placed in nursing homes, and receive the services they need in that setting. The PASRR process is required for all applicants to Medicaid-certified nursing facilities, which include children under age 21 years, regardless of payor. The rule also ensures that every applicant receives a PASRR Level II evaluation and determination if indicated in the PASRR Level I. This rule supersedes the PASRR process and forms currently in the Florida Medicaid Nursing Facility Services Coverage and Limitations Handbook, incorporated by reference in Rule 59G-4.200, Florida Administrative Code.

SUMMARY:

SUMMARY: This rule is mandated by federal law to ensure that Medicaid-certified nursing facility applicants and residents with mental illness, intellectual disabilities, or related conditions are identified and admitted or allowed to remain in a nursing facility only if there is a verified need for nursing facility services. Additionally, if a need for specialized services is determined, federal guidelines require that such services must be provided.
NOTE: The Agency has determined that the electronic uploading materials incorporated by reference in paragraph 1.040(2)(e) and subparagraph 1.040(2)(k)1. would constitute a violation of federal copyright law. This material is available for public inspection and examination at the Agency for Health Care Administration, 2727 Mahan Drive, Tallahassee, FL 32308. Please contact Margaret Reilly at the contact information provided below for questions.

RULEMAKING AUTHORITY:

409.919 FS.

LAW:

409.902, 409.905(8), 409.912, 409.913 FS.

PRINT PUBLISH DATE:

8/27/2013 Vol. 39/167

COMMENTS:

From 8/27/2013 To 9/17/2013 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.