Form LTC-29 Notice of Referral Forlevel II Pre-admission Screening Andresident Review (Pasrr) Evaluation - New Jersey

Form LTC-29 Notice of Referral Forlevel II Pre-admission Screening Andresident Review (Pasrr) Evaluation - New Jersey

What Is Form LTC-29?

This is a legal form that was released by the New Jersey Department of Human Services - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of the Form LTC-29?
A: The Form LTC-29 is used to refer individuals for a Level II Pre-admission Screening and Resident Review (PASRR) evaluation in New Jersey.

Q: Who needs to complete the Form LTC-29?
A: The Form LTC-29 needs to be completed by the referring entity, which could be the hospital, nursing home, or other healthcare facility.

Q: What is a Level II PASRR evaluation?
A: A Level II PASRR evaluation is a comprehensive assessment conducted by a qualified professional to determine the specialized services needed by individuals with mental illness, intellectual disabilities, or related conditions before they are admitted to a nursing home.

Q: When should the Form LTC-29 be completed?
A: The Form LTC-29 should be completed prior to the individual's admission to a nursing home or within 30 days of admission.

Q: What information is required on the Form LTC-29?
A: The Form LTC-29 requires information such as the individual's demographic details, medical diagnosis, mental health diagnosis, and previous treatment history.

Q: What happens after the Form LTC-29 is submitted?
A: After the Form LTC-29 is submitted, the PASRR Evaluation Center will review the information provided and schedule a Level II PASRR evaluation for the individual.

Q: Is there a fee for the Level II PASRR evaluation?
A: No, there is no fee for the Level II PASRR evaluation in New Jersey.

Q: What is the purpose of the Level II PASRR evaluation?
A: The purpose of the Level II PASRR evaluation is to determine the appropriate level of care and services needed by the individual with mental illness, intellectual disabilities, or related conditions in a nursing home setting.

Q: Can the Level II PASRR evaluation result in a denial of admission to a nursing home?
A: Yes, if the Level II PASRR evaluation determines that the individual does not meet the nursing home level of care criteria, admission to a nursing home may be denied.

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Form Details:

  • Released on February 1, 2019;
  • The latest edition provided by the New Jersey Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form LTC-29 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Human Services.

Download Form LTC-29 Notice of Referral Forlevel II Pre-admission Screening Andresident Review (Pasrr) Evaluation - New Jersey

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