Process When an Individual’s PASRR Level I Screening Indicates the Individual is Suspected of Having an ID or DD
The purpose of this information letter is to describe the process when an individual’s Preadmission Screening and Resident Review (PASRR) Level I Screening (PL1) indicates the individual is suspected of having an intellectual disability (ID) or developmental disability (DD). In accordance with Texas Administrative Code, Title 40, Chapter 17, Preadmission Screening and Resident Review, Subchapter C, Responsibilities, §17.302, relating to the LIDDA and LMHA Responsibilities Related to the PASRR Process, within seven days, the LIDDA must:
• review the individual’s or resident’s medical records;
• meet face-to-face with the individual’s or resident’s Legally Authorized Representative (LAR) or communicate with the LAR by telephone if the LAR is not able to meet face-to-face; • communicate by telephone, mail, or face-to-face with collateral contacts as necessary; and
• obtain additional information as needed, such as searching the Client Assignment and Registration (CARE) system screens 230, C83, or 1183 for history of confirmed ID or DD.
Able to confirm the diagnosis of ID or DD
If the LIDDA evaluator is able to confirm the diagnosis of ID or DD, then the LIDDA evaluator must:
• add a comment to the PASRR Evaluation (PE) on section B, field B0400M, to state what information was used to confirm the diagnosis of ID or DD; and,
• mark the PE positive.
Unable to confirm the diagnosis of ID or DD If the LIDDA evaluator is not able to confirm a diagnosis of ID or DD, then the LIDDA evaluator must:
• complete a “referral” in Section F1000 of the PE: o mark 19 for “Other” in F1000A; o mark the individual is being referred for a Determination of Intellectual Disability (DID) in F1000B; o enter the phone number of the LIDDA completing the PE in F1000C; o mark the “date of referral” for the DID in F1000D; and o mark the PE negative to indicate the individual does not have ID or DD; and
• not send the individual or LAR a notice of denial of eligibility for specialized services and an opportunity for a fair hearing.
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