PASRR 新闻通讯
第 4 卷
入院前筛查和住院审查 (PASRR) 是一项联邦政府强制要求的计划，适用于所有 Medicaid 认证的护理机构申请人。 该计划确定患有严重精神疾病 (SMI)、智力障碍、发育障碍或相关疾病 (ID/DD/RC) 的个人是否需要护理机构服务，考虑限制最少的环境或任何专门服务。
PASRR 2024 数据
一月1 、 2024 – 十一月30 、 2024
| 案件解决 |
总病例数 |
占案件总数的百分比 |
|---|---|---|
| 已提交一级筛查 |
455,557 |
100％ |
| 筛查结果为阴性（包括已结案的 EHD 案件） |
338,720 |
74％ |
| 2 级尝试（包括以无 SMI、分类和重复结案的案件） |
98,559 |
22% |
| 已完成 2 级评估和判定 |
18,278 |
4% |
热门话题：
文件交换（医院）
在启动文件交换之前，医院必须确认 PASRR 流程已以正确的分辨率完成，并将所有 PASRR 文件打印出来作为医疗记录。 一旦医院将病例送至专业护理机构 (SNF)，他们就无法再访问该病例。 在个人向 SNF 出院之前，必须启动文件交换。 审批者和用户都可以发起文件交换。 文件交换说明位于此处：文件交换教程视频。
对于疑似患有 SMI 的个人，有效的 PASRR 决议和 DHCS 信函：
- LI – Exempted Hospital Discharge (Exempted Hospital Discharge Letter)
- LII – Not Required (Notice of No Need Letter)
- LI – Categorical Delirium/Projected Short Stay at NF/Severe Physical Illness (Categorical Letter)
- LII – 分类字母（分类字母）
- LII – Attempt – No SMI (Attempt Letter)
- LII – Determination Letter Generated (Determination Letter)
- Hospitals must ensure the recommended Level of Care (LOC) on the Determination Letter matches the admitting facility’s LOC. If not, hospitals may submit a Reconsideration request in the PASRR system within 90 days.
-
复议完成（复议函）
SNF 的文件交换
为了访问 PASRR 系统中的案例和相应的信件，SNF 必须接受来自医院的文件交换。 只有审批者可以接受文件交换。
Reminder: The file exchange has a timer of 5 days from the day the file exchange was sent. Please have an approver check for incoming file exchanges on the dashboard at least once a day. File exchanges that aren’t accepted within 5 days will remain with the original facility. The SNF should reach out to the discharging facility to resend the file exchange if the acceptance window was missed. If there are complications sending or retrieving a file exchange, please email ITServiceDesk@dhcs.ca.gov and provide the Case Identification Number (CID number) in question.
多重身份验证 (MFA) 重置
Account users have a two-step verification/MFA to access the PASRR system, in most cases. If the account holder loses access to the phone number associated with their account due to a new phone or new phone number, they may need to reset their MFA to log into the PASRR system. To request an MFA reset, please email ITServiceDesk@dhcs.ca.gov and request an “MFA Reset”. Once the request has been completed by the PASRR team, we will email the point of contact with the following instructions:
Your Multi-Factor Authentication (MFA) was reset. Please log in here: https://portal.dhcs.ca.gov. You should be prompted to reselect the MFA. We recommend selecting the “I want to set up a different method” link (under the QR code) to use a personal cell phone and receive a code by text message option if your facility allows it. If not, you will need to use the Microsoft Authenticator App or choose a land line number and receive a code by call option.
治疗授权请求 (TARS)
在提交 TARS 报销时，SNF 必须包含可从 PASRR 系统下载的 PASRR 文档。 如果提交了住院医师评估（RR），请将原始入院前筛查（PAS）的所有页面和 RR（所有页面）放在一起。
SNF 必须在 TAR 提交中包括一级筛查和以下信件之一：
- 豁免出院证明
- 无需函通知书
- LI – Categorical Letter
- LII – 明确信函
- LII – Attempt Letter – No SMI
- Determination Letter. Please ensure the recommended Level of Care (LOC) on the Determination Letter matches the admitting facility’s LOC. If not, SNFs may submit a Reconsideration request in the PASRR system within 90 days.
- 复议函
PASRR 2 级评估联系人
| 安森特拉健康
（SMI） |
DDS 区域中心 (ID/DD/RC) |
|---|---|
| 电话:(888) 201-0614 |
电话:(833)421-0061 |
| 传真： (844) 523-6388 |
传真： (916) 654-3256 |
| Email: CAPASRR@acentra.com |
不适用 |
即将举行的活动
- PASRR 每月培训。请单击 PASRR 培训进行注册。
当前项目
- 加州 PASRR 法规
- 质量监控计划