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This version of the form is not currently in use and is provided for reference only. Download this version of
Attachment A
for the current year.
Attachment A Policy 680-c - Arizona Pre-admission Screening and Resident Review (Pasrr) Level I Screening Tool - Arizona
What Is Attachment A?
This is a legal form that was released by the Arizona Health Care Cost Containment System - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Policy 680-c?A: Policy 680-c is the Arizona Pre-admission Screening and Resident Review (PASRR) Level I Screening Tool.
Q: What is the purpose of the PASRR Level I Screening Tool?A: The purpose of the PASRR Level I Screening Tool is to assess the need for additional evaluation or specialized services for individuals seeking admission to Medicaid-certified nursing facilities.
Q: Who is responsible for conducting the PASRR Level I Screening?A: The Division of Developmental Disabilities is responsible for conducting the PASRR Level I Screening.
Q: What does the PASRR Level I Screening involve?A: The PASRR Level I Screening involves reviewing the individual's medical and social history, conducting face-to-face interviews, and administering standardized assessment tools.
Q: What happens after the PASRR Level I Screening?A: After the PASRR Level I Screening, a determination is made regarding the need for further evaluation or specialized services.
Form Details:
- Released on September 5, 2019;
- The latest edition provided by the Arizona Health Care Cost Containment System;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Attachment A by clicking the link below or browse more documents and templates provided by the Arizona Health Care Cost Containment System.
Download Attachment A Policy 680-c - Arizona Pre-admission Screening and Resident Review (Pasrr) Level I Screening Tool - Arizona
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