PASRR Newsletter
Volume 2 – February 2024
PASRR
Nws yog ib qho kev pab cuam uas tseem ceeb hauv tsoomfwv, muaj feem xyuam rau txhua tus neeg thov kev kho mob uas tau lees paub Medicaid. Qhov kev zov me nyuam txiav txim siab seb cov tib neeg muaj mob puas siab puas ntsws loj (SMI), kev tsis taus kev txawj ntse / kev loj hlob tsis taus lossis muaj feem cuam tshuam (ID / DD / RC) xav tau cov kev pabcuam hauv tsev laus, xav txog qhov kev txwv tsawg tshaj plaws lossis cov kev pabcuam tshwj xeeb.
PASRR 2023 Data
| Kev daws teeb meem | Number of Total Cases | Feem pua ntawm Tag Nrho Cov Ntaub Ntawv |
|---|---|---|
| Qib I Kev Ntsuam Xyuas Xa | 496,395 ib | 100% |
| Negative Screenings (includes cases closed as EHD) | 317,795 ib | 64% |
| Level II Attempts (includes cases closed as No SMI, Categoricals, and Duplicates) | 161, 201 ib | 32% |
| Qib II Kev Ntsuam Xyuas & Kev txiav txim tiav tiav | 17, 399 ib | 4% |
Cov Ntsiab Lus Kub - Cov Txheej Txheem Tshaj Tawm (Tsev Kho Mob)
Thaum lub caij so, Lub Tsev Haujlwm tau pom ntau qhov kev thov ceev nrawm los ntawm tsev kho mob. PASRR cov ntaub ntawv raug ua tiav raws li Qib I Kev Ntsuam Xyuas Hnub Xaus thiab tau nrawm raws li qhov xwm txheej. Thaum cov xwm txheej tau nrawm, nws ncua sijhawm rau lwm qhov xwm txheej uas nyob hauv tus neeg cog lus cov kab ke. Yog li ntawd, peb txuas ntxiv txhawb cov tsev kho mob kom xa qhov Kev Ntsuam Xyuas Qib I sai li sai tau thaum lawv paub tias tus neeg yuav tawm mus rau qhov chaw saib xyuas neeg mob (SNF).
Cov hauv qab no yog cov ntsiab lus luv luv ntawm cov txheej txheem PASRR:
Tom qab Kev Ntsuam Xyuas Qib I qhia tias tus neeg muaj txiaj ntsig zoo rau SMI, nws tau xa hluav taws xob mus rau DHCS tus neeg cog lus, tshuaj xyuas thiab ua tiav. Tus neeg cog lus (Kepro) yuav hu rau tsev kho mob tsis pub dhau 24 teev tom qab tau txais qhov zoo SMI Qib I Kev Ntsuam Xyuas seb puas xav tau Kev Ntsuas Qib II thiab ua kom tiav qhov kev ntsuam xyuas tsis pub dhau peb mus rau tsib hnub. Thaum Kev Ntsuas Qib II tiav lawm, nws raug xa mus rau hauv tshuab hluav taws xob mus rau DHCS thiab tshuaj xyuas los ntawm Tus Kws Kho Mob Kws Kho Mob. Thaum qhov kev tshuaj xyuas no tiav lawm, tsab ntawv Txiav Txim yuav muaj nyob rau hauv 24 teev hauv PASRR Online System rau qhov chaw nkag.
Rau cov tib neeg uas muaj ID / DD / RC, Lub Tsev Haujlwm Saib Xyuas Kev Pabcuam Hauv Cheeb Tsam yuav txiav txim siab seb qhov Kev Ntsuas Qib II puas xav tau nyob rau hauv 24 txog 72 teev ntawm qhov Kev Ntsuas Qib I zoo thiab muaj xya mus rau cuaj hnub ua haujlwm kom ua tiav daim ID / DD / RC Qib II Kev Ntsuas thiab Kev Txiav Txim (PASRR Summary Report).
Hot Topic – Exempted Hospital Discharge (EHD) (SNFs)
Nws tau los rau Lub Tsev Haujlwm Saib Xyuas Kev Ua Haujlwm tias SNFs tau siv cov kev xaiv hauv tsev kho mob raug zam (EHD) hauv PASRR Qib I Kev Ntsuam Xyuas rau cov tib neeg uas tsis tau txais hauv tsev kho mob. SNFs yuav tsum tsis txhob siv qhov kev xaiv EHD tshwj tsis yog tias SNF ua tiav qhov Kev Ntsuam Xyuas Qib I sawv cev ntawm tsev kho mob.
The only exemption under which a hospital is not required to fully complete the PASRR process is if the individual discharging to a SNF qualifies for an EHD. Under this process, a Level 1 Screening is still required, but the EHD question can be marked “Yes” in the PASRR Online System. The case will close and an EHD letter is produced. The Level II Evaluation is not required for cases that close as an EHD.
Tag nrho cov txheej txheem teev tseg hauv qab no yuav tsum siv kom tau raws li 30-hnub EHD kev zam:
- Tus neeg tau txais ncaj qha mus rau SNF los ntawm lub tsev kho mob tom qab tau txais kev saib xyuas mob hnyav hauv tsev kho mob; thiab
- Tus tib neeg xav tau kev pabcuam SNF rau tib yam uas tus neeg tau txais kev saib xyuas hauv tsev kho mob; thiab
- Tus kws kho mob uas tuaj koom tau ntawv pov thawj ua ntej SNF txais tias tus neeg nyob hauv yuav xav tau tsawg dua 30 hnub ntawm NF cov kev pabcuam.
An EHD cannot be applied to someone who is being admitted to a SNF from home, a health home, or any other setting distinct from a hospital. When the EHD is applied and the SNF expects that the individual will exceed the 30-day period, the SNF must complete a Level I Screening as a Resident Review by the 40th calendar day after admission.
Yog tias ib tus neeg nkag mus rau SNF los ntawm ib qho chaw nyob ib sab ntawm lub tsev kho mob thiab tus neeg yuav tsum nyob hauv SNF tsawg dua 15 hnub, ces SNF yuav tsum tau tshaj tawm cov ntaub ntawv no hauv Tshooj IV - Categorical Determination of the Level I Screening. Qhov no yuav ua rau Categorical Review los ntawm DHCS tus neeg cog lus los txiav txim seb qhov Kev Ntsuas Qib II puas tsim nyog.
PASRR Qib II Kev Ntsuam Xyuas Kev Tiv Thaiv
| Kepro (SMI) |
DDS Regional Centers (ID/DD/RC) |
|---|---|
| Xov tooj: (888) 201-0614 | Xov tooj: (833) 421-0061 |
| Fax: (844) 523-6388 | Fax: (916) 654-3256 |
| Email: CAPASRR@kepro.com | N/A |
Cov xwm txheej tom ntej
- Monthly PASRR Office Hours (NEW) – February 22, 2024, from 10am to 11am. Register for February’s Office Hours.
Cov phiaj xwm tam sim no
- Qib I Kev tshuaj ntsuam xyuas kho
- California PASRR Regulations
- Kev Npaj Saib Xyuas Zoo