Fill Out Your Colorado Post Admission Level 1 Passr Form

Instructions on How to Fill Out Colorado Post Admission Level 1 Passr

When preparing to fill out the Colorado Post Admission Level 1 (PASRR) form, it's essential to gather all pertinent information concerning the individual’s health, especially any mental illness, disabilities, and current medications. After completing the form, it will be submitted for further screening to determine the necessary level of care and if additional evaluations are required. The process ensures that persons with mental illness, developmental disabilities, or related conditions receive the appropriate level of care in nursing facilities. Here are the steps to fill out the form correctly:

1. Start by entering the individual's first name, middle initial, and last name.
2. Fill in the mailing address, including city, state, and zip code.
3. Provide the person's phone number and Social Security number.
4. Enter the date of birth and mark the appropriate gender.
5. Select the race that best describes the individual from the options provided.
6. Indicate the current location by checking the appropriate box and include the admission date if applicable.
7. Enter the receiving nursing facility's name and address, including city, state, and zip code.
8. Choose the payment method from the options provided and include the Medicaid number if applicable.
9. Provide ULTC scores if Medicaid or Medicaid pending is selected.
10. In Section I, indicate whether the individual has a major mental illness (MMI), other mental disorders, or a diagnosis not listed. Check the appropriate boxes and provide diagnoses where required.
11. In Section II, check if the individual has shown interpersonal symptoms, concentration/task-related symptoms, or any changes adapting to change.
12. In Section III, detail any history of psychiatric treatment and significant life disruptions due to mental health symptoms within the past two years.
13. In Section IV, indicate if the individual has a diagnosis of dementia and provide details on corroborative testing and medications.
14. In Section V, list any psychotropic medications prescribed within the past six months not listed in the previous section.
15. For Section VI, indicate if there’s a diagnosis of mental retardation (MR) or developmental disabilities (DD) and provide relevant details.
16. In Section VII, determine if the admission meets criteria for exemptions such as the hospital, terminal illness, severity of illness, or 60-day convalescence and fill in additional comments if any.
17. In Section VIII, answer questions about the outcome based on the marked numbers and suspicions within the form.
18. If applicable, include legal guardian information.
19. Section IX requires the source's signature, print name, the date, and contact information from the agency or facility completing the form.
20. Leave Section X blank as it is for MASSPRO use only.

After filling out the form, review all the information for accuracy. Then, as per the instructions at the end of Section VIII, submit the screening information to Masspro by fax. Provide a copy of the completed form to the individual or their guardian, ensuring transparency and documentation of the review process. This is an important step toward securing the appropriate care and supports for those entering or residing in nursing facilities.

What is the purpose of the Colorado Post Admission Level 1 PASRR Form?

The Colorado Post Admission Level 1 PASRR (Pre-Admission Screening and Resident Review) form is designed to evaluate individuals before they are admitted to a nursing facility. Its primary goal is to ensure that people who need specialized mental health or intellectual disability services are identified and receive the appropriate level of care. The form helps in determining whether the facility can meet the individual’s needs or if alternative community services or specialized services are more appropriate.

Who needs to complete the Colorado Post Admission Level 1 PASRR Form?

This form is required for any individual who is seeking admission into a nursing facility and who may have a serious mental illness (SMI) or an intellectual disability (ID) or developmental disability (DD). It must be filled out by a qualified professional, often in coordination with the individual's healthcare provider, to accurately capture the individual's current mental, physical, and functional status.

What information is needed to fill out the form?

To complete the form, you’ll need detailed information about the individual's demographic data, medical history, current health status, and specific information about any mental health diagnoses, symptoms, treatment history, and medication. Details regarding the individual’s ability to perform daily tasks and their cognitive and behavioral functions are also required.

What happens after the form is submitted?

Once the form is filled out and submitted, it will be reviewed to determine if the individual requires further evaluation to assess their need for specialized services. If necessary, a more comprehensive Level II PASRR evaluation will be recommended. The nursing facility and the individual will be notified about the decision and any recommendations for further assessments or services.

Is there a time frame within which the PASRR must be completed?

Yes, the PASRR is an essential component of the admissions process to a nursing facility and should be completed and reviewed before admission. However, in urgent situations, there may be provisional admissions. It is crucial to check current regulations and requirements as these can vary and may have specific time frames.

Can the PASRR form be submitted electronically?

Yes, the Colorado PASRR form can be submitted electronically. The specific submission process can vary, so it's important to check with the relevant facility or Colorado's health services department for the most up-to-date submission guidelines.

What happens if someone is admitted without a PASRR screening?

Admitting an individual to a nursing facility without a PASRR screening when required by law can lead to various issues, including non-compliance with state and federal regulations. It may result in the need for retroactive screening and could affect funding, particularly from Medicaid. It’s crucial to ensure the PASRR is completed as part of the admissions process to avoid such problems.

Are there exemptions to the PASRR requirements?

Yes, there are specific situations where an exemption to the usual PASRR requirements may apply, such as when an individual is admitted for a short-term respite or has a terminal illness. However, these exemptions come with specific criteria that must be met and documented on the PASRR form.

Filling out the Colorado Post Admission Level 1 PASRR (Pre-Admission Screening and Resident Review) form is crucial in ensuring that individuals receive the right care and services they need. However, mistakes can easily be made, often due to misunderstood instructions or oversight. Below are common mistakes to avoid:

1. Not providing detailed contact information in the patient identification section, which includes missing out on either the mailing address or failing to include a current phone number. This detail is vital for any follow-up communication.
2. Incorrectly filling out the Social Security number or Date of Birth. These are critical for identifying the patient within various healthcare systems.
3. Skipping the current location and admission date details. This information provides context about the patient's current healthcare setting and their trajectory of care.
4. Failure to accurately indicate the mental illness, developmental disabilities, and symptoms sections. Accurately detailing this information ensures that the individual's mental and physical health needs are appropriately evaluated.
5. Omitting important details in Section III regarding the history of psychiatric treatment. This history can significantly impact the individual's care plan and support needs.
6. Forgetting to list current medications, especially psychotropic medications. Medication management is essential in care planning to avoid negative interactions and ensure efficacy.
7. Overlooking the need to check and correctly fill the sections regarding the presence of dementia or Alzheimer’s. This includes missing out on providing information about corroborative testing or existing diagnoses that are crucial for appropriate care planning.
8. Neglecting to provide ULTC scores when Medicaid or Medicaid Pending is checked as the Payment Method. These scores are essential for establishing the level of care needed.
9. Not providing information on the guardian if the individual has a legal guardian. This oversight can result in legal complications and delays in care.

When submitting the Colorado Level 1 PASRR form, paying close attention to each section and providing complete and accurate information will ensure that individuals receive the right support and services, minimizing delays and potential for erroneous care. Ensuring these details are accurately captured not only streamlines the admission and review process but also supports better health outcomes for the individual.

Navigating healthcare and legal requirements can be overwhelming, especially for individuals and families making decisions regarding long-term care. The Colorado Post Admission Level 1 Pre-Admission Screening and Resident Review (PASRR) is a crucial form used to ensure that individuals entering a nursing facility receive the appropriate care for their mental health and intellectual or developmental disabilities. Alongside this form, there are several other documents that often complement its use, aiming to streamline the admission process and ensure comprehensive care.

• Physician Certification for Nursing Facility Care: This document is completed by a physician to certify that based on a medical evaluation, the individual requires the level of care provided in a nursing facility. It details the medical reasons for the recommendation and is used in conjunction with the PASRR to ensure the care setting is suitable.
• Comprehensive Needs Assessment (CNA): The CNA is an in-depth evaluation of an individual's medical, psychological, and social needs. It serves as a foundation for developing a care plan that addresses all aspects of an individual's well-being, ensuring the nursing facility can meet the specified needs.
• Medicaid Application: For individuals seeking coverage for nursing facility care under Medicaid, completing a Medicaid Application is essential. This form collects financial and medical information to determine eligibility for Medicaid benefits, which can cover the costs of long-term care for qualifying individuals.
• Advance Directive or Medical Power of Attorney: While not always required for admission, having an advance directive or medical power of attorney on file is crucial. These documents specify an individual's preferences for medical treatment and designate a person to make healthcare decisions if they become unable to do so themselves. This ensures that care preferences are respected and that there's a clear decision-maker in critical situations.

Each of these documents plays a vital role in ensuring that individuals receive appropriate care that aligns with their needs and preferences. When used together with the Colorado Post Admission Level 1 PASRR form, they create a comprehensive framework that supports individuals' health and well-being as they transition into long-term care facilities. Understanding and preparing these documents in advance can significantly ease the admission process, providing peace of mind for both the individual and their loved ones.

The Colorado Post Admission Level 1 Passr form is similar to many different kinds of medical and psychiatric evaluation forms, essentially because they all aim to collect comprehensive information about an individual's health status. These forms are crucial in determining the appropriate care or treatment necessary for the person in question. Below are examples of documents to which the Colorado PASRR form shares similarities and the aspects that make them alike.

Health Insurance Portability and Accountability Act (HIPAA) Authorization Forms: These forms, like the PASRR, require personal identifiers such as name, address, and Social Security number. Both documents are designed to ensure the individual's privacy and confidentiality in accordance with federal regulations. HIPAA forms also have sections where patients provide consent for the use and disclosure of their health information, paralleling how PASRR forms gather data with consent for mental and physical health evaluation purposes.

Mental Health Intake Forms: These forms closely resemble the PASRR regarding the collection of comprehensive mental health history, including current medications, symptoms, and previous psychiatric treatment. Both form types delve into the psychological well-being of the patient, aiming to understand their mental health status thoroughly. They include specific sections for diagnoses, treatment history, and often, the evaluation of mental disorders, aiming to offer a holistic view of the individual's mental health.

Medication Reconciliation Forms: Similar to the section in the PASRR form that lists current medications, dosage, and diagnosis, medication reconciliation forms are used within healthcare settings to provide a complete and accurate list of an individual’s medications. These documents ensure that healthcare providers are fully aware of all medications a patient is taking, including non-prescription drugs, to mitigate the risk of drug interactions and ensure safe prescribing practices.

Nursing Facility Admission Assessment Forms: These documents share similarities with the PASRR, particularly in the sections that address the need for nursing facility care. Both sets of forms assess the individual's functional status, including their ability to perform activities of daily living (ADLs) such as bathing, dressing, and eating. This information is critical in determining the appropriate level of care and services the individual requires.

When completing the Colorado Post Admission Level 1 PASRR form, following the right procedures is crucial. Here are some essential dos and don'ts:

• Do double-check all personal information (name, address, social security number, etc.) for accuracy.
• Do accurately indicate the individual’s current location and the receiving nursing facility’s information.
• Do complete the mental illness section with attention to detail, ensuring all diagnoses and symptoms are reported accurately.
• Do provide comprehensive details on interpersonal symptoms, concentration/task related symptoms, and adaptation to change as requested.
• Do list any psychiatric treatments received in the past 2 years, including inpatient or outpatient services.
• Do specify if the individual has a diagnosis of dementia, providing corroborative testing or other supporting information if available.
• Do accurately list all psychotropic medications, including dosages and dates, ensuring no medication is omitted.
• Do review and respond to sections on mental retardation & developmental disabilities with accurate and comprehensive information.
• Do ensure that the form is signed and dated by the appropriate person, verifying that the information provided is true and accurate to the best of their knowledge.
• Do provide the form and any additional required documentation to the designated contact promptly to avoid delays in the review process.

• Don’t leave any sections blank unless specified that they don’t apply to the individual’s situation.
• Don’t guess or provide inaccurate information – if unsure about an answer, seek clarification or verify the information before submitting.
• Don’t omit details about major mental illnesses, mental disorders, symptoms, or treatment history. These details are critical for an accurate assessment.
• Don’t neglect to provide detailed descriptions of symptoms, especially those related to interpersonal relations, task completion, or adjustments to change.
• Don’t forget to include information about any psychiatric/behavioral evaluations that the individual has undergone.
• Don’t overlook sections related to dementia – if the individual has a diagnosis, ensure that all pertinent information and tests are clearly reported.
• Don’t list medications used for a medical diagnosis in the psychotropic medications section unless specified in the instructions.
• Don’t provide incomplete information regarding mental retardation and developmental disabilities, as this could impact the individual’s care plan.
• Don’t submit the form without verifying all information for completeness and accuracy. Incomplete forms may result in processing delays.
• Don’t disregard the form’s instructions or the importance of prompt and accurate submission, as this could affect the individual’s eligibility and potential services.

In navigating the complexities of the Colorado Post Admission Level 1 Passr form, individuals often encounter misconceptions that can cloud their understanding of its purpose and the required procedure. It is crucial to demystify these notions for everyone involved, ensuring clarity and compliance with regulations.

• Misconception 1: The form only needs to be completed for individuals with a prior diagnosis of mental illness or developmental disabilities. Many assume that the form’s application is limited to individuals with known mental illnesses or developmental disabilities. However, it serves a broader purpose, including screening for undiagnosed conditions and ensuring that all individuals receive appropriate care based on their current needs, regardless of prior diagnoses.
• Misconception 2: The form is solely for the use of medical professionals. While medical professionals play a significant role in its completion, the form is also integral to caregivers, social workers, and family members who contribute valuable information about the individual's history, symptoms, and care needs.
• Misconception 3: Submission of this form guarantees immediate placement into a care facility. Submitting the form is a critical step in the process, yet it does not guarantee immediate placement. It initiates a review process that may involve further evaluation and identification of the most suitable care pathway for the individual.
• Misconception 4: Personal information is at risk of being compromised. Concerns about the compromise of personal information are understandable. Nevertheless, the form is handled with strict confidentiality protocols, ensuring that sensitive information is protected and shared only with professionals directly involved in the individual’s care planning.
• Misconception 5: The form is only applicable for long-term admissions. While long-term care scenarios are a significant focus, the form also addresses short-term care needs arising from acute medical conditions, hospitalization, and rehabilitation. It encompasses a range of admissions, including temporary and convalescent stays.
• Misconception 6: Once completed, the form is final and cannot be updated. Circumstances and care needs can evolve. Thus, the information provided on the form can be updated to reflect an individual's current condition and needs. Continuous assessment ensures that care plans remain relevant and responsive.

By clarifying these misconceptions, individuals and their families can navigate the Colorado Post Admission Level 1 Passr form with more confidence, understanding how it facilitates the provision of appropriate care for those entering nursing facilities.

The Colorado Post Admission Level 1 Pre-Admission Screening and Resident Review (PASRR) is a critical form that requires careful attention to detail when being filled out. This ensures individuals receive appropriate care and support tailored to their mental and physical health needs. Below are five key takeaways regarding the completion and utilization of the PASRR form:

• It's imperative to accurately include the individual’s personal information, current location, and the receiving nursing facility details. This ensures the form is directed to the right entities and the individual’s care needs are appropriately addressed.
• The form comprehensively covers the individual's mental health status, including any major mental illnesses (MMI), symptoms, and current or past psychiatric treatment. Accurately reporting this information is crucial for ensuring that individuals with mental health disorders receive the necessary evaluations and services.
• Documentation of any diagnoses of Dementia or related conditions, along with details on psychiatric treatment history, facilitates a better understanding of the individual’s health status, directly impacting the care and interventions they receive.
• The section on psychotropic medications requires listing any psychoactive medications prescribed within the past six months, excluding those used for a medical diagnosis. This information helps in reviewing the individual's medication management plan and ensuring it aligns with best practices.
• Details on the individual’s eligibility for exemptions based on categories like hospital discharge, terminal illness, severity of illness, or convalescence indicate the need for expedited or specialized services. Properly identifying these categories can significantly impact the care pathway and support services rendered to the individual.

Ensuring the Colorado PASRR form is filled out with complete and accurate information is essential for the provision of appropriate care and support services, tailored to the individual’s specific health care needs.