Get Dhmh Preadmission Screening And Resident Review (pasrr)

Completing the DHMH Preadmission Screening And Resident Review (PASRR) online is an important step for individuals seeking admission to nursing facilities that participate in the Maryland Medical Assistance Program. This guide provides clear and concise instructions to help you accurately fill out the form.

Follow the steps to complete the PASRR online.

1. Press the ‘Get Form’ button to access the form and open it in the designated editor.
2. Begin by entering the individual's last name, first name, middle initial, and date of birth in the appropriate fields. Include their Social Security Number (SSN) and current location.
3. Fill out the address, including city, state, and zip code, along with the name and contact number of a person who can be reached for follow-up regarding the application.
4. Proceed to section A, Exempted Hospital Discharge. Answer the three questions related to hospital admission and care. If all three are answered 'Yes,' sign and date below. If any are answered 'No,' continue to the remainder of the form.
5. Move to section B, Mental Retardation and Related Conditions. Answer all four questions regarding diagnosis, history, and referrals relevant to mental retardation or related conditions.
6. In section C, Serious Mental Illness, answer the three questions regarding major mental disorders, levels of impairment, and recent treatment. Determine if the individual is considered to have a serious mental illness based on your responses.
7. Complete section D, Categorical Advance Group Determinations, by addressing five critical questions. If any are answered 'Yes,' further documentation may be required, and referrals for Level II evaluations might be necessary.
8. Finally, review all entries for accuracy. Sign your name, include your title, and fill in the date at the end of the form to certify the provided information.
9. Once all required fields are completed, you can save changes to your document, download, print, or share the form as needed.

Start completing the DHMH Preadmission Screening And Resident Review (PASRR) online today.