- Patients entering Medicaid certified Nursing Homes (regardless of whether or not they themselves have Medicaid) that have a mental illness or developmental disability must be screened for the need for specialized services by an organization called Behavior Consulting (phone: 262-376-1224; fax: 262-376-0928 or 0948). This is a state requirement.
- Paperwork to Fax Includes:
- Screen Form (see below)
- Release of Information Form (see below)
- Demographic Sheet
- Current Medication List
- Last few days of nursing notes
- Psychiatry notes
- Health Psychology notes
- Paperwork to Fax Includes:
- While nursing homes are ultimately responsible for the beginning of this paperwork - the Level I Screen - there are times we may be asked to complete.
- It is very important to have the patients with mental illness or their legal representative sign a release of information form prior to faxing the screen to BCS. Patients with developmental disabilities do not need to sign a release of information form as they or their legal representative have already signed appropriate permission with admissions. If a patient refuses to sign this form, please consult with the Social Work Manager.
- Their address is 1533 WI Ave, Grafton, WI 53024
- Specialized Services can be provided by any nursing home, though not every nursing home is willing to offer them. Facilities do not need any special license or approval from the department to provide specialized services.
- Specialized Services are defined as a continuous program of aggressive/assertive, consistent implementation of a program of specialized and generic training, treatment, health services and related services.
- If you have questions about specialized services, reimbursement for providing specialized services, or need technical assistance contact Dan Zimmerman, the PASARR Contract Administrator at (608) 266-7072 or e-mail him at email@example.com
- SNFs are given an additional $9/day per client that requires specialized services.
- Exemptions include:
- Patients that are on a medication for situational depression (must have diagnosed less than 6 months ago) - make sure this is indicted on DC face sheet
- Patients that are entering a SNF from the hospital for skilled care for less than 30 days
- Patients that are entering for 30 days pending appropriate placement
- Patients that need emergency placement for less than 7 days
- Patients that need respite care for less than 30 days per year maximum
- Patients that are terminally ill, or whose medical condition makes it impossible for them to participate in or benefit from specialized services.
- Per BCS Training Spring '08, hospitals are not supposed to fill out the exemption section - this is something the SNFs are responsible for.
Dan Zimmerman is the contact person for questions regarding these memos/forms. He can be reached at (608) 266-7072.
PREADMISSION SCREENING MEMO #9
PREADMISSION SCREENING MEMO #10