[UPDATED 12/9/2022 to replace contact number below]
December 6, 2022
Beginning January 1, 2023, psychosocial assessments will no longer be needed prior to submitting the PASRR Level II packet. Telligen, the PASRR Level II vendor, will be scheduling interviews to complete this part of the process. Wyoming Medicaid hopes this will allow individuals to move into nursing homes at a quicker pace.
Here will be the process for new PASRR Level IIs, this includes resident reviews:
1. Hospital or Nursing Home completes the PASRR Level I.
a. PASRR Level I summary is a 0. Individual can be admitted to nursing home.
b. PASRR Level I summary is 4, 5, 6, 7 or 8, documentation for categorical is uploaded to Telligen system. Individual can be admitted.
c. PASRR Level I summary is 1, 2, or 3. Hospital or Nursing home must upload information, excluding psychosocial if one has not been completed in the last year, to Telligen system. Individual cannot be admitted until notice of determination and report has been completed by Telligen.
2. Hospital or Nursing Home will determine if there has been a psychosocial completed in the last year. If still relevant, submit it with the PASRR Level II packet into the Telligen system.
3. If no psychosocial is found, Hospital or Nursing Home will upload all other documents to the Telligen system.
4. Make sure to put any contact information in the case that would assist with scheduling an interview with family members, health staff and/or member.
5. Telligen will review case and if a psychosocial has not been uploaded to case will schedule interview with contact information.
6. Telligen will complete interview with individuals.
7. Telligen will review all documentation including information received during interview and make a determination of placement. Once this has been completed and the notice of determination/report have been uploaded to case, individual can be admitted.
The PASRR process is a federal regulation. It must be completed prior to admission. If it is not completed prior to admission, nursing homes will not be paid for the days prior to the completion of the PASRR process. PASRR Level IIs cannot be backdated. Date of determination will be the date that a completed PASRR Level II packet was submitted to Telligen.
If you have any questions or concerns, please feel free to contact Amy Guimond via Email or 307-777-3427.