What is Pasrr Level 2 Florida?

The Level II PASRR confirms or rules out an SMI, ID or both. It is an in-depth evaluation of the individual and a determination of the need for NF services.

What is Pasrr Level 2 Georgia?

PASRR Level II referrals are made by Georgia Medical Care Foundation/Alliant (GMCF) to The Georgia Collaborative ASO if there is evidence of a mental illness, an intellectual/developmental disability, or a related condition during the Level I process. This referral initiates the Level II process.

Get Nj Pasrr Level 1 Form

OF ADMISSION OR TERMINATION OF A MEDICAID BENEFICIARY I. PATIENT INFORMATION 1. Name: 3. HSP (Medicaid) Case No.: Confirmed By (CWA): II. 1. 2. 3. 4. - 2. Social Security No.: (Last) - (First) Medicaid Only / 4. Date of Birth: SSI 5. Sex: / Female Male PROVIDER INFORMATION Provider Number: LTCF Name: Address: City, State, Zip: III. REQUEST FOR PAS Private to Medicaid PASRR Exempt 30 Days PAS Exempt 20 Days Hospice Revoked 5. Provider Phone #: 6. SCNF: Medicaid Managed Care Termi.

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