County Review of Nursing Home, Institutes for Mental Disease (IMD) or Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Referral Forms Ma ura K le in Pre a dmissio n Sc re e ning a nd Re side nt Re vie w Co ntra c t Administra to r June 6, 2016
What is the F-20822 form? • I t c irc umve nts inte r-c o unty dispute s re g a rding re side nc y whe n individua ls with disa b ilitie s a re institutio na lize d. • I t is re q uire d fo r a ll pe rso ns with a n inte lle c tua l/ de ve lo pme nta l disa b ility o r me nta l illne ss: o Prio r to fa c ility a dmissio n o Re g a rdle ss o f pa yme nt so urc e 2
3
2015 Form Changes • T he c o unty is no t re q uire d to se nd a c o py o f the c o mple te d fo rm to DHS. • Re fe re nc e s to the e sta b lishme nt o f nursing ho me c a re le ve ls we re de le te d b e c a use the e sta b lishme nt o f nursing ho me c a re le ve ls no w is a uto ma te d. 4
2015 Form Changes • T he sho rt-te rm e xe mptio n o f “pe nding a lte rna te pla c e me nt” fo r up to 30 da ys wa s re mo ve d; the e me rg e nc y pla c e me nt fo r up to se ve n da ys sho uld b e use d inste a d to a ddre ss the e me rg e nc y ne e ds o f a pe rso n. • Pa ra g ra phs we re a dde d to c la rify the diffe re nc e in the de finitio ns a pplic a b le to the c o unty a ppro va l ve rsus the Pre a dmissio n Sc re e ning a nd Re side nt Re vie w (PASRR) L e ve l I a nd L e ve l I I Sc re e n pro c e ss. 5
Out of State Circumstances • A pe rso n who is c urre ntly a re side nt o f a no the r sta te b ut is c ho o sing to pe rma ne ntly re lo c a te to Wisc o nsin will re q uire a n F -20822 in the c o unty tha t will b e c o me the pla c e o f re side nc e . • I f a pe rso n who is no t a Wisc o nsin re side nt inte nds to re turn to the ir ho me a fte r c o mple ting sho rt-te rm re c upe ra tive c a re , fa c ility sta ff sho uld c o nta c t Ma ura K le in prio r to a dmissio n. 6
Out of State Circumstances “An inte r-fa c ility tra nsfe r o c c urs whe n a n individua l is tra nsfe rre d fro m o ne nursing fa c ility to a no the r nursing fa c ility, with o r witho ut a n inte rve ning ho spita l sta y. I nte r-fa c ility tra nsfe rs a re sub je c t to a nnua l re side nt re vie w ra the r tha n pre - a dmissio n sc re e ning .” - 42 CF R 483.106 (b )(4)(i) 7
Out of State Circumstances Wisc o nsin ma y a b ide b y the de te rmina tio ns o f a n o ut o f sta te PASRR L e ve l I Sc re e n a nd PASRR L e ve l I I De te rmina tio n fo r the purpo se s o f a dmissio n. 8
Questions? 9
Contact Information Ma ura K le in ma ura .kle in@ wisc o nsin.g o v 608-266-7072 10
Recommend
More recommend
