This version of the form is not currently in use and is provided for reference only. Download this version of Attachment A for the current year.
This is a legal form that was released by the Arizona Health Care Cost Containment System - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Policy 680-c?
A: Policy 680-c is the Arizona Pre-admission Screening and Resident Review (PASRR) Level I Screening Tool.
Q: What is the purpose of the PASRR Level I Screening Tool?
A: The purpose of the PASRR Level I Screening Tool is to assess the need for additional evaluation or specialized services for individuals seeking admission to Medicaid-certified nursing facilities.
Q: Who is responsible for conducting the PASRR Level I Screening?
A: The Division of Developmental Disabilities is responsible for conducting the PASRR Level I Screening.
Q: What does the PASRR Level I Screening involve?
A: The PASRR Level I Screening involves reviewing the individual's medical and social history, conducting face-to-face interviews, and administering standardized assessment tools.
Q: What happens after the PASRR Level I Screening?
A: After the PASRR Level I Screening, a determination is made regarding the need for further evaluation or specialized services.
Form Details:
Download a fillable version of Attachment A by clicking the link below or browse more documents and templates provided by the Arizona Health Care Cost Containment System.