The Pre-admission Screening and Resident Review (PASRR) process is a requirement in all Indiana Health Coverage Programs (IHCP)-certified Nursing Facilities (NF’s). All residents of an IHCP-certifies nursing facility are subject to the PASRR process, regardless of known diagnoses or methods of payment. Screening occurs prior to admission or when there is a significant change in physical or mental condition of a resident.
All IHCP and non IHCP applicants to nursing facilities are entered in the state’s web-based PASRR system, and a Level I screening is completed to initiate the PASRR process. Individuals seeking Medicaid coverage of their NF stay (whether they now reside in an NF or are seeking NF placement), and individuals for which a Level II assessment is triggered, must also undergo a level-of-care (LOC) assessment to determine whether they meet the necessary LOC criteria outlined in the regulations. Prior to any denial, individuals who do not appear to meet NF criteria receive an onsite assessment from the Area Agencies on Aging for a final determination.
Statistics show that approximately 98% of all persons admitted to a long term care facility need Medicaid to assist with the bill within two (2) years. If you seek Medicaid for your nursing home care, you will need to provide information to the Division of Children and Family.
Ombudsman is a Swedish word meaning citizen’s representative. A Long-term Care Ombudsman serves as an advocate who seeks to resolve complaints made by or on behalf of people who are consumers of Long-Term Care services.
Advance Directives are legal documents that allow you to put in writing what kind of health care you would want or name someone who can speak for you if you were to ill to speak for yourself.
These legal documents help ensure your wishes are followed, but it’s important to talk to your family, friends, and health care providers about your wishes.