32 Miss. Code. R. 1-6.11 - PAS INSTRUMENT COMPONENTS

The PAS consist of ten (10) sections, most of which have two (2) or more subsections. The table below lists the sections/subsections and identifies the populations for whom each subsection applies.

Section/Subsection	Applies to:
I Intake	All Applicants
II Functional Screen
IIA ADL's & IADL's	All Applicants
IIB Communication/Sensory	All Applicants
III Cognitive Screen	All applicants (caregiver response component applies only if caregiver is present)
IV Mood/Psychosocial & Behaviors
IVA Mood/Psychosocial	All Applicants
IVB Behaviors	All Applicants
V Medical Screen
VA Medical Conditions	All Applicants
VB Health-Related Services	All Applicants
VC Medications	All Applicants
VD Medical Stability	All Applicants
VE Medical Summary	All Applicants
VI Social Supports
VI.1 Primary Caregiver	All applicants with a primary caregiver
VI.2 Formal Agency Supports	All Applicants
VII Home Environment	All applicants except Nursing Home and other institutional residents not seeking community placement
VIII Informed Choice
VIII.1 Individual Strengths	All applicants except Nursing Home and other institutional residents not seeking community placement
VIII.2 Program Options & Desired Assistance	All Applicants
VIII.3 Individual Choice	All Applicants
IX Level II Determination (PASRR)	All applicants presented with Nursing Facility Placement as an option in Section VIII
X PAS Summary & Physician Certification	All Applicants

The PAS application may be reviewed in its entirety by logging on to: www.dom.state.ms.us, select Providers, select Envision. Enter your User ID and Password, select Provider, Long Term Care, PAS and Hardcopy PAS Application.

Notes

32 Miss. Code. R. 1-6.11