§ 1181.543. Agencies that manage the evaluation process.

 (a)  Preadmission screening process. For an individual subject to the preadmission screening process, relevant determinations shall be made by the State mental health, mental retardation and developmental disability authority. In this Commonwealth, the Department is that authority. The authority is required to make a determination of whether the referred individual requires nursing facility services and, if the individual does, whether the individual requires active treatment. The Department will notify the designated evaluation agency and each individual involved of its determination using Form PA-PASARR-YN.

 (b)  Determination by Department. The Department is required to base its determination on an independent physical and mental evaluation performed by a person or entity other than the Department. The Department will therefore not perform the evaluations itself, but will utilize evaluations performed by the Department of Aging through its LAMP sites and other authorized agents. The Department of Aging will utilize Form PA-PASARR-EV as the protocol for the evaluations.

 (c)  LAMP site counties.

   (1)  General. The Department, in cooperation with the Department of Aging, is already conducting preadmission screening with respect to persons eligible for MA in counties which have LAMP sites. LAMP assesses the need for nursing facility services in light of the condition of the individual involved in the assessment and of the alternatives available for the care of that individual outside of a nursing facility in the individual’s community. LAMP will continue to be available for the assessment of individuals eligible for MA. In designated counties, LAMP will be the agency to which providers will refer applicants for admission to the nursing facility who have been determined to require further determination after the administration of Form PA-PASARR-ID.

   (2)  Definition. The term ‘‘LAMP site’’ refers to a site doing both LAMP and OBRA assessments and providing alternative community services.

   (3)  Counties. The counties where OBRA evaluations will be done by LAMP sites and the addresses and telephone numbers of the sites are:

 (d)  Preadmission site.

   (1)  Definition. The term ‘‘preadmission site’’ refers to an AAA which is doing preadmission assessments for MA applicants and persons identified through the OBRA screening process, which are ‘‘LAMP Lite,’’ ‘‘Diet LAMP’’ or ‘‘modified LAMP’’ sites.

   (2)  Counties. The counties where the assessment portion of the LAMP program, as well as OBRA evaluations, will be done by preadmission sites and the addresses and telephone numbers of the sites are:

 (e)  OBRA only site.

   (1)  Definition. The term ‘‘OBRA only site’’ refers to an AAA doing only the OBRA preadmission assessments.

 (2)  Counties. The counties currently providing evaluations at OBRA only sites, and the addresses and telephone numbers of the sites are:

   The provisions of this §  1181.543 adopted December 3, 1988, effective January 1, 1989, 18 Pa.B. 5711; amended August 4, 1989, effective upon publication and applies retroactively to January 1, 1989, 19 Pa.B. 3314. Immediately preceding text appears at serial pages (136029) to (136034).