The biographical information form must be completed by a person who is one of the following for the franchisor company: director, principal officer, other executives who will manage the franchisees, and franchise brokers.
Missouri Controlling Persons Questionnaire
Category:
State:
Multi-State
Control #:
US-1-02-STP
Format:
Word;
Rich Text
Instant download
Description
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How to fill out Controlling Persons Questionnaire?
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Those individuals who are identified with a SMI, ID, or RC are then evaluated through the ?Level II? PASRR process to ensure that the Individual meets the criteria for Nursing Facility admission and to make recommendations for rehabilitative and Specialized Services.
Questions? Call the FCSR toll-free at (866) 422-6872.
If the Screening is positive for possible SMI and/or ID/DD/RC, then a Level II Evaluation will be performed. The Level II Evaluation helps determine placement and specialized services.
Preadmission Screening and Resident Review (PASRR) is guided by federal regulations that require all individuals being considered for admission to a Medicaid-certified nursing facility (NF) be screened prior to admission, to determine if the person has, or is suspected of having, a mental illness, intellectual ...
Possession of a Controlled Substance in Missouri Possession of any controlled substance (not including marijuana) is a Class D felony. Possession of less than 10 grams of marijuana is a Class D misdemeanor. Possession of less than 10 grams of marijuana with a prior drug conviction is a Class A misdemeanor.
The Level 2 Evaluation has three main goals: Confirm whether the individual has an SMI or ID/DD or RC; Assess the individual's need for Medicaid certified nursing facility (NF ) services; and. Assess whether the individual requires specialized services.
The Level II evaluation examines the diagnosis of record to confirm or disconfirm whether the individual with a positive Level I has MI or ID/RC, determines whether placement or continued stay in the requested or current NF is appropriate; and calculates the individual's MI/ID service needs, including services the NF ...