Screening for Nursing Care, ICF-MR or HCBS Recipients 510-05-35-25

(Revised 11/1/06 ML #3047)

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(N.D.A.C. Section 75-02-02.1-04)

 

 

All applicants or recipients who seek nursing care services in nursing facilities, swing bed facilities, institutions for mental disease (IMD), or intermediate care facilities for the mentally retarded (ICF-MR), or who seek home and community-based services, must be screened to establish the medical necessity for these services.

 

This screening allows payment to providers for eligible recipients from the effective date of the screening. A new screening is required whenever there is a change in provider or a reentry into a facility following a discharge from that facility. A new screening is not required on a reapplication for Medicaid if there has been no change in the living arrangement of the applicant since the initial screening was completed. An annual rescreening is required only for recipients requiring care in an ICF-MR or through HCBS.