Form DCH-3877 Preadmission Screening (Pas) / Annual Resident Review (Arr) - Michigan

What Is Form DCH-3877?

This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DCH-3877?
A: Form DCH-3877 is a Preadmission Screening (PAS)/Annual Resident Review (ARR) form in Michigan.

Q: What is the purpose of Form DCH-3877?
A: The purpose of Form DCH-3877 is to screen individuals who are seeking admission to a nursing facility or who are already residents, and to determine their needs and eligibility for services.

Q: Who is required to complete Form DCH-3877?
A: The nursing facility staff, in coordination with the resident or their representative, is responsible for completing Form DCH-3877.

Q: What information is included in Form DCH-3877?
A: Form DCH-3877 includes information about the individual's medical history, physical and mental functioning, social supports, and other relevant factors.

Q: When should Form DCH-3877 be completed?
A: Form DCH-3877 should be completed prior to admission to a nursing facility and on an annual basis thereafter.