OBH PASRR Level II Resident Review Guidelines
This file includes essential guidelines for completing the OBH PASRR Level II Resident Review request. It provides details on who needs to fill out the form and the required steps for submission. Ensure compliance with Health Standards to avoid penalties.
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How do I fill this out?
Filling out this form requires careful attention to detail. Ensure that all sections are completed as per the guidelines provided. A signed and appropriately credentialed staff member must submit this form to avoid any compliance issues.
How to fill out the OBH PASRR Level II Resident Review Guidelines?
1
Enter the resident's personal details in the designated fields.
2
Indicate if a Level II evaluation was previously conducted.
3
Check relevant criteria that necessitate the Resident Review.
4
Complete all necessary details and ensure the form is signed.
5
Submit the completed form to the appropriate office.
Who needs the OBH PASRR Level II Resident Review Guidelines?
1
Nursing facilities who need to assess resident eligibility for behavioral health services.
2
Healthcare providers requiring a complete mental health evaluation for residents.
3
Administrative staff ensuring compliance with regulatory standards.
4
Social workers advocating for the necessary care and assessments.
5
Family members who want to understand the resident's health requirements.
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What are the instructions for submitting this form?
To submit the OBH PASRR Level II Request for Resident Review form, fax it to the Office of Aging and Adult Services at either (225) 389-8198 or (225) 389-8197. Be sure to include all required documentation, such as the Continued Stay Request Form if applicable. For any concerns or questions, contact the OBH PASRR Level II Office at (225) 342-4827 or via email at OBHPASRR@LA.GOV.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include the need to submit requests at least 15 days prior to the expiration of any existing authorization. Ensure timely completion to maintain compliance in 2024 and 2025. Check specific dates based on renewal notifications you receive.
What is the purpose of this form?
The purpose of the OBH PASRR Level II Request for Resident Review form is to determine the need for further assessment of residents who may require specialized behavioral health services. This form ensures that nursing facilities meet health standards and regulatory requirements by accurately reporting resident information. Timely submission of this form is crucial to avoid any lapses in care and support for residents with mental health needs.
Tell me about this form and its components and fields line-by-line.
- 1. Resident Name: Full name of the resident.
- 2. SS#: Social Security number for identification.
- 3. DOB: Date of birth of the resident.
- 4. Evaluation Status: Indicates whether the resident has had a Level II evaluation.
- 5. Diagnosis: Details about mental health diagnoses impacting the resident.
- 6. Signature: Signature of the staff completing the form.
What happens if I fail to submit this form?
If this form is not submitted correctly or timely, the nursing facility may face compliance issues and citations from Health Standards. It’s vital to ensure all necessary information is provided and signed to avoid delays in the Resident Review process.
- Non-Compliance Penalties: Facilities may be cited for failing to submit required forms.
- Assessment Delays: Lack of submission can delay necessary mental health evaluations.
- Regulatory Scrutiny: Incorrect submissions may lead to increased scrutiny from health authorities.
How do I know when to use this form?
- 1. Inpatient Admissions: When a resident has been admitted following a psychiatric stay.
- 2. New Diagnoses: For residents who have recently received a mental health diagnosis.
- 3. Medication Changes: When there are substantial alterations in the psychiatric medication regimen.
- 4. Functional Impairment: If the resident faces significant functional challenges due to their mental health condition.
- 5. Evaluation Requests: At the request of families or staff who believe a review is warranted.
Frequently Asked Questions
What is the purpose of this form?
This form is designed to request a Resident Review as part of the OBH PASRR Level II evaluation process.
Who can fill out this form?
The form must be completed by appropriately credentialed staff such as LPNs, RNs, LPCs, or LCSWs.
What happens if I don’t submit this form?
Failure to submit the form can result in non-compliance citations from Health Standards.
Can I edit this PDF on PrintFriendly?
Yes, PrintFriendly allows you to edit your PDF before downloading.
How do I submit this form?
You can submit this form by faxing it to the appropriate OBH contact numbers.
Is there a deadline for submitting this form?
Yes, submissions should be made at least 15 days before the expiration of the existing authorization.
How can I share this document?
You can generate a shareable link for others to access the PDF directly.
Can I sign the PDF electronically?
Yes, PrintFriendly allows you to add your electronic signature to the PDF.
What if I have questions about filling out the form?
Contact the OBH PASRR Level II Office for assistance.
Where can I find more information about the OBH guidelines?
Further details can be found through the OBH's official channels or their website.
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