Utah Admin. Code R414-501-3 - Preadmission Authorization
(1) A
nursing facility will perform a preadmission assessment when admitting a
nursing facility applicant. Preadmission authorization is not transferable from
one nursing facility to another.
(2) A nursing facility must obtain approval
from the Department when admitting a nursing facility applicant. The nursing
facility must submit a request for prior approval to the Department no later
than the next business day after the date of admission. A request for prior
approval may be in writing or by telephone and will include:
(a) the name, age, and Medicaid eligibility
of the nursing facility applicant;
(b) the date of transfer or admission to the
nursing facility ;
(c) the reason
for acute care inpatient hospitalization or emergency placement, if
any;
(d) a description of the care
and services needed;
(e) the
nursing facility applicant's current functional and mental status;
(f) the established diagnoses;
(g) the medications and treatments currently
ordered for the nursing facility applicant;
(h) a description of the nursing facility
applicant's discharge potential;
(i) the name of the hospital discharge
planner or nursing facility employee who is requesting the prior
approval;
(j) the Preadmission
Screening and Resident Review (PASRR) Level I screening, except the screening
is not required for admission to an intermediate care facility for people with
mental retardation ; and
(k) the
Preadmission Screening and Resident Review (PASRR) Level II determination, as
required by
42 CFR
483.112.
(4) If the Department gives a telephone prior
approval, the nursing facility will submit to the Department within five
working days a preadmission transmittal for the nursing facility applicant, and
will begin preparing the complete contact for the nursing facility applicant.
The complete contact is a written application containing all the elements of a
request for prior authorization plus:
(a) the
preadmission continued stay transmittal;
(b) a history and physical;
(c) the signed and dated physician's orders,
including physician certification ; and
(d) an MDS assessment completed no later than
14 calendar days after the resident is admitted to a nursing
facility .
(5) The
requirements in Section R414-501-3 do not apply in cases in which a facility is
seeking Retroactive Authorization described in Section
R414-501-5.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) A nursing facility will perform a preadmission assessment when admitting a nursing facility applicant. Preadmission authorization is not transferable from one nursing facility to another.
(2) A nursing facility must obtain approval from the Department when admitting a nursing facility applicant. The nursing facility must submit a request for prior approval to the Department no later than the next business day after the date of admission. A request for prior approval may be in writing or by telephone and will include:
(a) the name, age, and Medicaid eligibility of the nursing facility applicant;
(b) the date of transfer or admission to the nursing facility;
(c) the reason for acute care inpatient hospitalization or emergency placement, if any;
(d) a description of the care and services needed;
(e) the nursing facility applicant's current functional and mental status;
(f) the established diagnoses;
(g) the medications and treatments currently ordered for the nursing facility applicant;
(h) a description of the nursing facility applicant's discharge potential;
(i) the name of the hospital discharge planner or nursing facility employee who is requesting the prior approval;
(j) the Preadmission Screening and Resident Review (PASRR) Level I screening, except the screening is not required for admission to an intermediate care facility for people with mental retardation; and
(k) the Preadmission Screening and Resident Review (PASRR) Level II determination, as required by 42 CFR 483.112.
(4) If the Department gives a telephone prior approval, the nursing facility will submit to the Department within five working days a preadmission transmittal for the nursing facility applicant, and will begin preparing the complete contact for the nursing facility applicant. The complete contact is a written application containing all the elements of a request for prior authorization plus:
(a) the preadmission continued stay transmittal;
(b) a history and physical;
(c) the signed and dated physician's orders, including physician certification; and
(d) an MDS assessment completed no later than 14 calendar days after the resident is admitted to a nursing facility.
(5) The requirements in Section R414-501-3 do not apply in cases in which a facility is seeking Retroactive Authorization described in Section R414-501-5.