We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Pasrr Maine

Get Pasrr Maine

Instructions: This PASRR Level 1 Screen contains 4 sections: All 4 sections must be completed. ... Print Name and Title of Person Completing Form. ' ' .- 1 -' ".

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Pasrr Maine online

Filling out the Pasrr Maine form online can streamline the process and ensure your information is accurately captured. This guide provides clear and comprehensive instructions to help users navigate the form with ease.

Follow the steps to complete the Pasrr Maine form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the individual’s personal details, including their full name, date of birth, and current address. Ensure that all entered information is accurate and up to date.
  3. After completing the health information, outline any functional limitations experienced by the individual. Use descriptive language to clarify how these limitations affect daily activities.
  4. Finally, save your changes and choose to download, print, or share the completed form with concerned parties as needed.

Take action today and complete the Pasrr Maine form online for a seamless submission experience.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

PASRR - V. Level 1 Screens - Mental Health; DHHS...
Preadmission Screening and Resident Review (PASRR) program seeks to ensure that persons...
Learn more
Adults with Intellectual Disability or Autism...
How many adults in Maine have intellectual disability or autism ... required by the...
Learn more

Related links form

GA Marcus Stroke Grady Health System Outpatient Referral Form 2019 GA Gwinnett County Transit Paratransit Application 2019 NY DOS-1390-f 2016 NY DOS-1390-f 2017

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Assessments are completed by an agency contracted with the State of Maine called MAXIMUS (they were formerly done by Kepro). Maximus can be reached at 1-833-525-5784. Your primary care provider can call in a referral request, or you can call yourself to make a referral.

Preadmission Screening and Resident Review (PASRR) is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care.

MAXIMUS receives notification when someone applies for Long Term Care (LTC) MaineCare or Nursing Home MaineCare. Based on this information, Intake Staff will determine if it is the appropriate time to have an Assessor complete an assessment at the current time.

The Level II PASRR confirms or rules out an SMI, ID or both. It is an in-depth evaluation of the individual and a determination of the need for NF services.

Assisted Living Medicaid Policy MaineCare, Maine's Medicaid program, reimburses residents for personal care services at any type of facility that offers assisted housing. The program also reimburses for nursing services in facilities that accommodate nursing care.

PASRR Level II referrals are made by Georgia Medical Care Foundation/Alliant (GMCF) to The Georgia Collaborative ASO if there is evidence of a mental illness, an intellectual/developmental disability, or a related condition during the Level I process. This referral initiates the Level II process.

Email: Ask-MaineASA@maximus.com. Phone: 833.525.5784.

Assessments are completed by an agency contracted with the State of Maine called MAXIMUS (they were formerly done by Kepro). Maximus can be reached at 1-833-525-5784. Your primary care provider can call in a referral request, or you can call yourself to make a referral.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Fill Pasrr Maine

Screening and evaluation through the PASRR program is required for participation in MaineCare. Com with the subject line: "Please add my email to the. Click 'Get Form' to open the pasrr maine document in the editor. Don't have an account? Since 2000, Maximus' PASRR services have supported better outcomes for individuals and more effective programs for states.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Pasrr Maine
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232