WAG 20-08-04.
A screening is required for persons age 18 and over who have applied for or established eligibility prior to entering an LTC facility.
A screening is required for persons age 22 and over who enter an SLF except as provided below.
The need for LTC or SLF services must be determined by a screening before the Family Community Resource Center approves payment for care.
The screening verifies the need for care. It consists of the Level II Screen completed by DHS - OMH/ODD, or a Determination of Need (DON) completed by DoA or DHS - ORS. The screening must be conducted by:
- DHS - OMH/ODD for all persons age 18 and over who may have MR or MI;
- DoA for all persons age 60 and over who are not screened by DHS;
- DHS - ORS for all persons age 18 to 59 who are not screened by DHS - OMH/ODD;
- HFS for SLF residents converting from private pay to Medicaid payment for care.
DHS, DoA, and HFS make referrals to ensure clients are screened by the appropriate agency. It is not the Family Community Resource Center responsibility to determine which agency is responsible for the screening.
The date the screening is completed affects the date the Family Community Resource Center approves payment for care.
A screening is valid for 90 days.
A screening is required for persons age 18 and over (age 22 and over for SLF residents) who:
enter an SLF, except for transfers between SLFs or from a nursing facility without a break in service;- live in an SLF and convert from private pay to Medicaid;
- have already applied for or are eligible for assistance when admitted to an SNF, ICF, or ICF/MR facility and a screening has not been completed in the past 90 days;
- transfer from sheltered care to an SNF, ICF, or ICF/MR facility;
- transfer from an ICF/MR facility to an SNF or ICF facility; or
- transfer from an SNF or ICF facility to an ICF/MR facility.
A screening is not required for persons who:
- are under age 18;
- receive sheltered care services;
- are already residing in an SNF, ICF, or ICF/MR facility as of the date of application for assistance;
- had resided in an SNF, ICF, or ICF/MR facility for at least 60 days, were discharged for a period of 60 days or less, and enter an SNF, ICF, or ICF/MR facility;
- transfer between SNF or ICF facilities with or without an intervening hospital stay;
- transfer between ICF/MR facilities with or without an intervening hospital stay;
- have continuously resided in an SNF, ICF, or ICF/MR facility since on or before June 30, 1996; or
- receive or will receive hospice services as verified by the SNF, ICF, or ICF/MR facility;
- transfer between SLFs or to an SLF from a nursing facility without a break in service.
