Virginia Long Term Services and Support (LTSS) Screening and Preadmission Screening and Resident Review (PASRR) Reminder
Waivers related to admission screenings are also affected by the expiration of Virginia’s PHE on June 30, 2021. The end of Virginia’s PHE means the end of the situation where a nursing facility did not need to obtain Medicaid LTSS Screening (as normally would be required by 12VAC30-60-308), and may admit individuals without the Medicaid LTSS screening
As a reminder:
1. Hospital screening teams are responsible for conducting the LTSS Screening for:
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individuals with any type of existing Medicaid membership or
- for any individual requesting a LTSS Screening while in a hospital, regardless of payor type.
Because the PASRR screening is coupled with the LTSS Screening for Virginia’s Medicaid program, the screening team responsible for conducting the PASRR screening prior to admission is determined by whether an individual being admitted to a nursing facility is required to have a LTSS Screening before admission.
If the hospital or community screening team conducts the LTSS screening, then that screener will conduct the PASRR screening, because it is part of the LTSS Screening. Those screeners are required to provide a copy of the of the screening to the nursing facility for review prior to admission.
- A hospital screening team would conduct a screening for individuals with any type of existing Medicaid membership or for any individual requesting a LTSS Screening while in a hospital regardless of payor type.
- A community screening team would conduct a screening for individuals in the community who have an existing Medicaid membership (including those individuals who have applied and are pending approval) or for any individual requesting a LTSS Screening while living in the community, regardless of payor type.
If an LTSS Screening is not required, the nursing facility screening teams are responsible for conducting the Level I screening and, if applicable, requesting and obtaining results from Ascend/Maximus for a Level II screening prior to admission to the nursing facility.
