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This 40 page paper provides an overview of the the Pre-Admission Screening and Annual Resident Review (PASARR). This paper is a policy analysis paper. Bibliography lists 25 sources.
Page Count:
40 pages (~225 words per page)
File: MH11_MHPASARR.rtf
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which was defined within the scope of the Omnibus Budget Reconciliation Act of 1987. This policy was created in response to the problems associated with the deinstitutionalization under the
Omnibus Budget Reconciliation Act of 1980, and reflected the problems for nursing care facilities in meeting the needs of an aging population. The central problem targeted by PASARR was
the fact that there was a need to determine that the services provided in nursing homes and care facilities were medically necessary and appropriate for each patient, and that mental
illness, retardation or related conditions were identified for all people receiving services in a nursing facility (NF) (WVMI, 2004). This policy was developed in order to ensure appropriate
care in correlation with Medicaid funding. Because Medicaid regulations stipulate that an individual must have both medical need and financial need before they can receive financial support for the
payment of services in a nursing facility, the use of the PASARR was designed to provide an instrument for assessing the necessity and appropriateness of services (WVMI, 2004). "The
instrument utilized for determining the need for these services is the Pre-Admission Screening Form (PAS-95). The law requires that any individual requesting nursing home or aged and disabled waiver services
must be evaluated using this instrument prior to receipt of Medicaid benefits for nursing home or aged and disabled waiver services. Evaluation for medical necessity of services must be made
within 60 days (90 days for waiver) prior to the services with the beginning date of eligibility being the signature date by the physician on the PAS-95" (WVMI, 2004).
The development of this policy also extended from the changes that occurred following the Omnibus Budget Reconciliation Act of 1980 and increasing state deinstitutionalization, which then placed a larger population
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