Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1187 - NURSING FACILITY SERVICES
Subchapter D - DATA REQUIREMENTS FOR NURSING FACILITY APPLICANTS AND RESIDENTS
Section 1187.31 - Admission or MA conversion requirements
Current through Register Vol. 54, No. 44, November 2, 2024
A nursing facility shall meet the following admission or MA conversion requirements:
(1) Prescreening. The nursing facility shall ensure that individuals applying for admission to the facility are prescreened by the Department as required by section 1919 of the Social Security Act (42 U.S.C.A. § 1396r(e)(7)) and 42 CFR Part 483 Subpart C (relating to preadmission screening and annual review of mentally ill and mentally retarded individuals).
(2) Preadmission or MA conversion evaluation and determination.
(3) Notification to the Department.
(4) Physician certification. Within 48 hours of admission of a resident to a nursing facility or, if a resident applies for MA while in the nursing facility before the Department authorizes payment for nursing facility services, the nursing facility shall ensure that a resident's attending physician certifies in writing in the resident's clinical record that the resident requires nursing facility services.
The provisions of this §1187.31 amended under sections 201(2), 206(2), 403(b) and 443.1(5) of the Public Welfare Code (62 P.S. §§ 201(2), 206(2), 403(b) and 443.1(5)).
