Kev Tshawb Fawb Txog Kev Tshawb Fawb thiab Cov Neeg Nyob Hauv Tebchaws
Tshiab hauv PASRR
Peb zoo siab tshaj tawm qhov kev tso tawm ntawm peb tsab ntawv xov xwm PASRR tshiab! Pab neeg PASRR mob siab rau qhia koj txog cov hloov tshiab tshiab, cov qauv kev lag luam, thiab cov ntsiab lus tshwj xeeb. Peb tsab ntawv xov xwm yuav yog ib qho ntawm koj cov chaw mus nrhiav rau yam uas yuav los tom ntej thiab yam uas tab tom tshwm sim.
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv zoo siab tshaj tawm tias California tau ua raws li nws lub luag haujlwm kom ua raws li kev lees paub ua ntej lub Xya Hli 1 , 2023 . Txhua lub tsev kho mob tso tawm mus rau SNF tab tom xa cov Kev Ntsuam Xyuas Qib I, ua kom cov txheej txheem PASRR ua tiav ua ntej tso ib tus neeg mus rau Medicaid certified Skilled Nursing Facilities (SNFs) thiab tab tom xa daim ntawv pov thawj PASRR thiab raws li xav tau, cov ntaub ntawv rau Cov Kev Npaj Kho Mob (MCPs ) nrog SNF xa mus rau kev tso cai ua ntej.
MCP cov cai yuav siv tau rau lub Tsib Hlis 1, 2023
MCPs tab tom tshuaj xyuas cov ntawv tso cai ua ntej rau kev tso npe SNF kom paub meej tias cov txheej txheem PASRR tau ua tiav. Cov tsev kho mob tso tawm mus rau SNF thiab SNFs yuav tsum suav nrog cov ntaub ntawv hauv qab no ua ib qho kev ceeb toom hauv daim ntawv thov kev tso cai ua ntej:
- Kev lees paub tias PASRR Qib I Kev Ntsuam Xyuas tau ua tiav;
- Seb qhov kev ntsuam xyuas Qib I yog qhov tsis zoo lossis zoo rau SMI thiab/lossis ID/DD/RC; thiab
- PASRR CID.
Hospitals discharging to a SNF and SNFs can find this information on the Level I Screening results that is immediately generated by the PASRR Online System once a Level I Screening is completed. If the Level I Screening result is negative for SMI or ID/DD/RC, the case is closed and MCPs will issue approval of the prior authorization request if the required information is received. However, if the Level I Screening result is positive for SMI or ID/DD/RC and the case advances to a Level II Evaluation, the MCP’s approval of the prior authorization will be pending. Once the PASRR process is completed, hospitals discharging to a SNF and SNFs must provide the resulting Level II Evaluation Letter to the MCP within three calendar days of issuance to obtain approval of the prior authorization request for SNF placement. Hospitals discharging to a SNF may proceed with discharging Members and SNFs may admit Members upon receipt of the MCP’s approval.
SNFs yuav tsum lees paub tias tus tswvcuab tus kws kho mob lub chaw haujlwm tau txais kev tso cai ua ntej rau kev tso npe SNF lossis pib thov kev tso cai ua ntej nrog MCP thiab suav nrog tus kws kho mob xaj kom tso SNF. SNFs yuav TSIS lees txais cov neeg hauv tsev kho mob yam tsis tau ua tiav cov txheej txheem PASRR. Yog tias SNFs lees txais kev lees paub yam tsis tau ua tiav cov txheej txheem PASRR, Tsoom Fwv Teb Chaws Kev Koom Tes Nyiaj Txiag (FFP) tsuas yog muaj rau cov kev pabcuam tom qab txheej txheem PASRR tiav.
Hais txog PASRR
Txoj Cai Kho Mob Hauv Tsev Kho Mob tau dhau los ua ib feem ntawm Txoj Cai Omnibus Budget Reconciliation Act ntawm 1987 (OBRA-87), thiab tau hloov kho los ntawm Public Law 100-203 thiab 101-508, tsim cov txheej txheem Preadmission Screening and Resident Review (PASSR) . (Saib rau Txoj Cai Tswjfwm Ntiag Tug (CFR) lub npe 42, ntu 483, ntu 483.100-483.138 txhawm rau saib PASRR cov cai.)
Lub Xeev California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS), PASRR Tshooj yog lub luag haujlwm los txiav txim siab yog tias cov tib neeg muaj kev puas siab puas ntsws loj (SMI) thiab/lossis kev txawj ntse/kev loj hlob tsis taus (ID/DD) lossis lwm yam xwm txheej (RC) xav tau:
- Cov kev pabcuam hauv tsev laus, xav txog qhov kev txwv tsawg tshaj plaws
- Cov kev pabcuam tshwjxeeb
Qhov no ua tiav los ntawm kev ua tiav cov txheej txheem PASRR. Cov txheej txheem PASRR suav nrog Kev Ntsuas Qib I, Kev Ntsuas Qib II, thiab kev txiav txim zaum kawg.
Qib I Kev Ntsuam Xyuas
Qhov Kev Ntsuas yog xa online los ntawm lub chaw thiab yog ib qho cuab yeej uas pab txheeb xyuas qhov ua tau SMI thiab / lossis ID / DD / RC.
Qib II Kev Ntsuas
Yog tias Kev Ntsuam Xyuas yog qhov zoo rau qhov ua tau SMI thiab / lossis ID / DD / RC, ces qhov Kev Ntsuas Qib II yuav raug ua. Kev Ntsuas Qib II pab txiav txim siab qhov chaw tso kawm thiab cov kev pabcuam tshwj xeeb. Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) yog lub luag haujlwm rau SMI Qib II Kev Ntsuam Xyuas, uas raws li txoj cai yuav tsum tau ua los ntawm lwm tus neeg cog lus. Lub Department of Developmental Services (DDS) yog lub luag hauj lwm rau kev ntsuam xyuas ID/DD/RC.
Kev txiav txim siab
Qhov Kev Txiav Txim SMI yuav muaj nyob online thiab yuav suav nrog kev tso npe thiab kev pom zoo rau kev kho mob rau tus kheej. Daim ID/DD/RC Kev Txiav Txim yuav raug muab los ntawm DDS, thov hu rau DDS rau cov lus nug txog Kev Txiav Txim.
Hu rau
Department of Health Care Services
Txhua PASRR cov lus nug / kev thov yuav tsum raug xa mus rau DHCS IT Service Desk. IT Service Desk xav tau lub npe, lub xeem, thiab tus lej xov tooj ua ntej yuav tsim daim pib ua haujlwm.
Rau cov lus nug ntsig txog Kev Ntsuas Qib I, Kev Ntsuas Qib II, lossis Kev Txiav Txim, thov suav nrog PASRR CID#.
DHCS IT Service Desk tuaj yeem hu tau los ntawm email lossis hauv xov tooj:
- Email: ITServiceDesk@dhcs.ca.gov
- Xov tooj: (800) 579-0874 thiab xaiv 2
Kev them nyiaj yug muaj nyob rau hnub Monday txog Friday thaum 7:30 teev sawv ntxov - 5:30 teev tsaus ntuj. Kev thov yuav tsis raug ua tiav tom qab cov sijhawm ua haujlwm, hnub so, lossis hnub so hauv xeev.
Rau kev pab tom qab-teev nrog PASRR Online System, thov saib lub sijhawm hu xov tooj hauv qab no. Thov nco ntsoov: Kev pab ntawm cov lej no yog rau cov xwm txheej kub ntxhov ntsig txog PASRR kev kaw haujlwm thiab tsuas yog muaj nyob sab nraud ntawm cov sijhawm ua haujlwm ib txwm muaj (Ie. Tom qab 5 teev tsaus ntuj rau hnub ua haujlwm, hnub so, thiab hnub so).
Cov ntaub ntawv tiv tauj Acentra:
- Xov tooj: (888) 201-0614
- Tus Fax: (844) 523-6388
- email: CAPASRR@acentra.com
Kev Thov Kev Tso Cai Kho Mob (TAR)
Yog tias koj muaj lus nug txog TAR xa lossis them nyiaj, thov hu rau
- Xovtooj: (800)-541-5555
Department of Developmental Service (DDS)
Rau cov lus nug ntsig txog ID/DD/RC Qib II Kev Ntsuas thiab Kev Txiav Txim, thov hu rau DDS.
- Xov tooj: (833) 421-0061
- Tus Fax: (916) 654-3256
California Department of Social Service (CDSS).
Yog tias koj tsis txaus siab rau cov txheej txheem rov txiav txim dua, koj tuaj yeem thov Lub Xeev Lub Rooj Hais Plaub Ncaj Ncees nrog CDSS.
- Xov tooj: (800) 952-5253
Kawm paub yuav ua li cas rau npe Cov Neeg Pom Zoo thiab Cov Neeg Siv, thiab hloov pauv kev tso npe nkag hauv PASRR Online system.
Nkag mus rau PASRR Online system, Microsoft Caw email cov lus qhia, Kev daws teeb meem, Kev teeb tsa tus password, Kev hloov pauv ntau qhov tseeb, thiab tshem tawm cov lus qhia Cache.
Koom nrog hauv kev cob qhia lossis nkag mus rau cov ntaub ntawv siv rau PASRR.
Thov Kev Tshawb Fawb Txog Kev Txiav Txim Siab ntawm
.
Xav tau kev pab? Mus saib ntu Cov Lus Nug Feem Ntau
(FAQs).
Saib Daim Ntawv Ceeb Toom Qhia Txog Medicaid-certified Skilled Nursing Facilities (SNF) thiab cov tsev kho mob tawm mus rau SNF.