[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR483.112]



[Page 535]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 483_REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES--Table 

of Contents

 

 Subpart C_Preadmission Screening and Annual Review of Mentally Ill and 

                      Mentally Retarded Individuals

 

Sec. 483.112  Preadmission screening of applicants for admission to NFs.



    (a) Determination of need for NF services. For each NF applicant 

with MI or MR, the State mental health or mental retardation authority 

(as appropriate) must determine, in accordance with Sec. 483.130, 

whether, because of the resident's physical and mental condition, the 

individual requires the level of services provided by a NF.

    (b) Determination of need for specialized services. If the 

individual with mental illness or mental retardation is determined to 

require a NF level of care, the State mental health or mental 

retardation authority (as appropriate) must also determine, in 

accordance with Sec. 483.130, whether the individual requires 

specialized services for the mental illness or mental retardation, as 

defined in Sec. 483.120.

    (c) Timeliness--(1) Except as specified in paragraph (c)(4) of this 

section, a preadmission screening determination must be made in writing 

within an annual average of 7 to 9 working days of referral of the 

individual with MI or MR by whatever agent performs the Level I 

identification, under Sec. 483.128(a) of this part, to the State mental 

health or mental retardation authority for screening. (See Sec. 

483.128(a) for discussion of Level I evaluation.)

    (2) The State may convey determinations verbally to nursing 

facilities and the individual and confirm them in writing.

    (3) The State may compute separate annual averages for the mentally 

ill and the mentally retarded/developmentally disabled populations.

    (4) The Secretary may grant an exception to the timeliness standard 

in paragraph (c)(1) of this section when the State--

    (i) Exceeds the annual average; and

    (ii) Provides justification satisfactory to the Secretary that a 

longer time period was necessary.