To: All
Medicaid Nursing Facilities
In light of the recent spread of COVID-19, effective March 16,
2020, we are providing additional guidance, to help ensure the health and
safety of nursing home residents, by enforcing the standards required to help
each resident attain, or maintain, their highest level of well-being.
The Pre-Admission
Screening and Annual Resident Review process
for Level I and Level II assessments will be waived for 30 days. All new
admissions will be treated like exempted hospital discharges. After 30
days, new admissions with mental illness (MI) intellectual disability (ID) or Related Condition (RC) should receive a
Resident Review as soon as resources become available. Additionally,
please note that per 42 C.F.R. 483.106(b)(4), new preadmission Level I and
Level 2 screens are not required for residents who are being transferred
between nursing facilities (NF). If the
NF is not certain whether a Level I had been conducted at the resident's
evacuating facility, a Level I can be conducted by the admitting facility
during the first few days of admission as part of intake and transfers with
positive Level I screens would require a Resident Review.
The PASRR Program requires that all nursing homes report a tracking list of all residents that are
admitted under the 1135 Waiver. Nursing homes must fax their tracking list to
the OBRA Office every two weeks beginning March 27th. Please include
the following: name of nursing home, nursing home contact person and telephone
number, date of each resident’s admission, their first and last name, social
security number, and, when applicable, date of discharge. Please fax all Waiver Listings to 334-409-6903, using the title 1135 Waiver Listing.
Nursing homes must be mindful of admission dates.
For additional information regarding the OBRA PASRR program please
contact Angela Howard, Director Alabama Department of Mental Health: 800-548-2188.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2020
American Medical Association and © 2020 American Dental Association (or such other date publication of CPT and
CDT). All rights reserved. Applicable FARS/DFARS apply.