N.Y. Comp. Codes R. & Regs. tit. 10 § 400.11

Current through Register Vol. 46, No. 50, December 11, 2024

Section 400.11 - Assessment of long-term care patients

(a)

(1) For patients who require placement or continued stay in a nursing home or health- related facility, the Hospital/Community PRI or the PRI, as appropriate, shall be completed by a registered professional nurse who has successfully completed a training program in patient case mix assessment approved by the department to train individuals in the completion of the patient review form (PRI) as contained in section 86-2.30(i) of this Title, or the Hospital/Community patient review form (Hospital/Community PRI) as contained in section 400.13 of this Part, and for patients who require placement or continued stay in a nursing home or a health-related facility, the SCREEN shall be completed by a professional with demonstrated skills in assessing psychosocial situations, including but not limited to social work and discharge planning professionals, who has successfully completed a training program in patient case mix screening approved by the department to train individuals in the completion of the patient screening form (SCREEN), as contained in section 400.12 of this Part.

(2) Each general hospital shall have on staff trained and qualified screener(s) and assessor(s) in such numbers as specified in section 85.8(c)(1)(ii) of this Title, who shall be responsible for and attest to the accuracy of Hospital/Community PRI's, PRI's, and SCREEN's, as contained in sections 400.13, 86-2.30(i) and 400.12 of this Title, respectively. Each residential health care facility shall have on staff trained and qualified screener(s) and assessor(s) who shall be responsible for and attest to the accuracy of PRI's and SCREEN's.

(b) The commissioner may waive the requirements of this section or any part thereof for recognized demonstration projects to effect the development of additional knowledge and experience in different types of assessments for long-term care patients.

(c) The patient, and/or the patient's designated representative shall be given an explanation of the information contained on the SCREEN, including the determination of setting for care for that particular patient.

(d) Residential health care facilities not participating in the Medicare and Medicaid programs (titles XVIII and XIX of the Federal Social Security Act) are required to complete the PRI and SCREEN forms for prior to admission and admission review purposes pursuant to sections 415.1(a), 420.1(a), 416.9(a) and 421.13(a) of this Title. The continued stay review requirements of sections 416.9(b), (f) and 421.13(b), (f) of this Title shall not apply. An alternate schedule for completion and submission of the forms may be established by the commissioner for such continued stay review requirements.

N.Y. Comp. Codes R. & Regs. Tit. 10 § 400.11

Amended New York State Register November 13, 2019/Volume XLI, Issue 46, eff. 11/13/2019