This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-300?
A: DSHS Form 14-300 is the Level 1 Pre-admission Screening and Resident Review (PASRR) form used in the state of Washington.
Q: What is the purpose of DSHS Form 14-300?
A: The purpose of DSHS Form 14-300 is to conduct a pre-admission screening and resident review for individuals seeking admission to a Medicaid-certified nursing facility.
Q: Who is required to complete DSHS Form 14-300?
A: The pre-admission screening must be completed by the nursing facility or hospital.
Q: What information is required on DSHS Form 14-300?
A: The form requires information such as the individual's personal details, medical history, and any special care needs.
Q: What happens after DSHS Form 14-300 is completed?
A: After the form is completed, it is sent to the appropriate DSHS PASRR office for review and determination.
Q: What is the purpose of the pre-admission screening and resident review?
A: The purpose is to ensure that individuals with serious mental illness or intellectual disabilities receive appropriate care and services in a nursing facility.
Q: Can an individual be denied admission based on the review?
A: Yes, an individual can be denied admission if it is determined that their needs can be better met in a different setting or if the nursing facility is not able to meet their specialized needs.
Q: Is there a fee for the pre-admission screening?
A: No, there is no fee for the pre-admission screening and resident review process.
Form Details:
Download a printable version of DSHS Form 14-300 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.