PAS Manual Modification - Medical History

Purpose

The purpose of this Information Bulletin is to inform all interested parties of a change in the Developmental Disabilities (DD) Pre-Admission Screening (PAS) Manual regarding the timeliness of medical histories.

Background

Information Bulletin DD.14.039:  Pre-Admission Screening Manual Revisions - Required Assessments announced changes to the DD PAS Manual regarding required assessments. The changes outlined in that Bulletin are intended to streamline the eligibility assessment process for individuals seeking new or different developmental disabilities Medicaid services. One of the modifications changed the timeliness of physicals from 30 days to one year. Independent Service Coordination agencies, responsible for completing the eligibility assessments, have since requested that the same time frame be applied to medical histories. The Division supports this requested change, with some limitations.

Process and Procedure

The DD PAS Manual is modified in Chapter 200.50, Section C., first paragraph, as follows:

• Current language:  A medical history must be completed by a licensed physician, an Advanced Practice Nurse, a Physician Assistant, or a Registered Nurse (RN). If completed by an RN, the assessment must be co-signed by a licensed physician. This assessment must be current within 90 days prior to the date recorded on the DDPAS-2, Part II.
• Current language is changed to:  A medical history must be completed by a licensed physician, an Advanced Practice Nurse, a Physician Assistant, or a Registered Nurse (RN). If completed by an RN, the assessment must be co-signed by a licensed physician. This assessment must be current within one year prior to the date recorded on the DDPAS-2, Part II, unless there has been a significant change in the medical status of the individual within the last year or the individual is being admitted to a nursing facility. For an individual with significant change in medical status within the year or an individual being admitted to a nursing facility, the assessment must be current within 90 days prior to the date recorded on the DDPAS-2, Part II. Examples of significant medical status changes would include: medical or psychiatric hospitalizations, surgical procedures, or newly diagnosed chronic medical conditions.

Effective Date

Effective Immediately.