Definition & Meaning of the PASRR Level 1 Georgia Form
The PASRR Level 1 Georgia form, also known as the DMA-613, is a crucial document used in the pre-admission screening process for individuals seeking admission to Medicaid-certified nursing facilities in Georgia. This form is designed to identify potential mental illnesses, intellectual disabilities, or related conditions in applicants before they are admitted to ensure they receive appropriate care. It serves as the first step in the PASRR process, which aims to prevent inappropriate placements and ensure that individuals receive the specialized services they may require.
How to Use the PASRR Level 1 Georgia Form
Using the PASRR Level 1 Georgia form involves several steps, primarily initiated by healthcare professionals such as hospital discharge planners or social workers. The form must be completed before an individual is admitted to a Medicaid-certified nursing facility. It includes a series of diagnostic and functional questions aimed at identifying any suspected mental health issues or intellectual disabilities.
Once the form is filled out, it is submitted for review. If the screening indicates potential issues, it triggers a referral for a Level II evaluation, which is a more in-depth assessment conducted by specialized providers. This systematic approach ensures that individuals receive the necessary evaluations and services tailored to their needs.
How to Obtain the PASRR Level 1 Georgia Form
The PASRR Level 1 form can be obtained through several channels. Healthcare providers typically have access to the form through state resources or healthcare systems. Additionally, the form is available on the Georgia Department of Community Health website, where it can be downloaded in PDF format. It is important to ensure that the most current version of the form is used, as regulations and requirements may change over time.
Steps to Complete the PASRR Level 1 Georgia Form
Completing the PASRR Level 1 Georgia form involves the following steps:
- Gather Information: Collect all necessary personal and medical information about the individual, including previous diagnoses, treatment history, and any current medications.
- Fill Out the Form: Answer all questions on the form accurately. This includes specific inquiries about mental health status and functional capabilities.
- Review for Accuracy: Ensure that all information is complete and correct to avoid delays in processing.
- Submit the Form: Send the completed form to the appropriate nursing facility or screening agency for evaluation.
Who Typically Uses the PASRR Level 1 Georgia Form
The PASRR Level 1 Georgia form is primarily used by healthcare professionals involved in the admission process to nursing facilities. This includes:
- Hospital Discharge Planners: They initiate the screening process as patients prepare for discharge.
- Social Workers: They often assist in completing the form and ensuring that all necessary information is provided.
- Nursing Facility Staff: They may review the form as part of the admission process to determine appropriate care levels.
Key Elements of the PASRR Level 1 Georgia Form
Several key elements are integral to the PASRR Level 1 Georgia form:
- Identification Information: Basic details about the individual, including name, date of birth, and Medicaid number.
- Diagnostic Questions: A series of questions designed to assess the presence of mental illness or intellectual disabilities.
- Referral Information: If the screening indicates potential issues, the form includes sections to facilitate referrals for further evaluation.
Legal Use of the PASRR Level 1 Georgia Form
The PASRR Level 1 Georgia form is legally mandated under federal law, specifically the Omnibus Budget Reconciliation Act of 1987. This law requires that all individuals seeking admission to Medicaid-certified nursing facilities undergo a pre-admission screening to identify any mental health or intellectual issues. Compliance with this requirement is essential to ensure that facilities provide appropriate care and services to residents.
Examples of Using the PASRR Level 1 Georgia Form
Practical examples of using the PASRR Level 1 Georgia form include:
- Case of a Senior with Dementia: A hospital discharge planner completes the form for a senior patient diagnosed with dementia, ensuring they receive the necessary evaluations for specialized care.
- Individual with a History of Mental Illness: A social worker assists a client with a history of serious mental illness in filling out the form, which triggers a Level II assessment to determine the best placement options.
