New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 54 - PHYSICIAN SERVICES
Subchapter 7 - PHYSICIAN SERVICES PROVIDED IN HOSPITALS AND NURSING FACILITIES
Section 10:54-7.7 - PASRR and PAS Screens; Necessity for nursing facility services
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The determination of the necessity for NF services shall be performed through Pre-admission Screening (PAS) as mandated by 30:4D-17.1 0. The Regional Staff Nurse (RSN) or other professional staff designated by the DHSS shall determine the necessity for nursing facility services for Medicaid/NJ FamilyCare program beneficiaries and for individuals who may become Medicaid/NJ FamilyCare program beneficiaries within six months following admission to a Medicaid certified facility and for individuals identified as meeting PASRR Level I criteria.
(b) The PASRR Level II Screen prior to NF admission shall be performed by a psychiatrist and forwarded to the Division of Mental Health Services (DMHS) for final determination of the need for specialized services.
(c) Annual Resident Reviews (ARR) for individuals identified as having mental illness residing in Medicaid certified nursing facilities shall be performed by the individual's attending physician and forwarded to the Division of Mental Health Services for final determination of the need for specialized services.