Serving 18 Counties in Northwest Kansas
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Last Modified 07/22/04
Assessor Alerts from KDOA
Nursing Facility Assessors:
CARE must be done on all admissions regardless of payment source prior to admission. It is the law. Call your Area Agency on Aging.
A CARE Assessment is not required when:
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A true provisional stay is expected to stay less than 30 days for rehab or respite and documented by physician as a provisional stay (call AAA on day 20 to request a CARE if appears unlikely to go home by day 30)
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Patient comes to nursing facility with approved PASRR from another state
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Patient has Doctor's diagnosis of a terminal illness or coma, and Terminal / Severe Physical Illness Letter from Kansas Department on Aging is obtained for chart
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Transferring into swing bed or a unit that is not licensed as skilled or Medicaid certified
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Emergency Admission - APS case, natural disaster, primary caregiver becomes unavailable beyond the caregiver's control, physician ordered admission due to the individual's condition, or out-of-state admission that is beyond the individual's control (NF Director of Nursing or Social Worker completes section A & B of CARE and FAX's to AAA in one working day)
Result---non payment for Medicaid if they become Medicaid and penalties for not complying with the law.
January 2009
Hospital Alert:
CARE must be done on all admissions to appropriate nursing facilities regardless of payment source prior to admission. It is the law. Call your local Area Agency on Aging.
A CARE Assessment is not required when:
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A true 30 day provisional stay is expected to stay less than 30 days for rehab or respite and documented by physician as provisional stay (NF calls AAA on day 20 to request a CARE if appears unlikely to go home by day 30). In the comments section you should note that the patient is on a 30 day provisional stay.
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Patient comes to nursing facility with approved PASRR from another state
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Patient has Doctor's diagnosis of a terminal illness or coma, then it is noted on discharge paperwork and NF orders so Terminal / Severe Physical Illness Letter from Kansas Department on Aging can be obtained by admitting nursing home
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Transferring into swing bed or a unit that is not licensed as skilled or Medicaid certified
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Emergency Admission - APS case, natural disaster, primary caregiver becomes unavailable beyond the caregiver's control, physician ordered admission due to the individual's condition, or out-of-state admission that is beyond the individual's control (NF Director of Nursing completes section A & B of CARE and FAX's to AAA in one working day)
* CARE Goldenrod page goes with patient and original is faxed to AAA.
* One copy is retained in hospital files.
January 2009
CARE Terminal / Severe Physical Illness Letter Process
CARE Assessments are not to be done on people who are terminally ill or in a coma prior to entering a Nursing Facility. Instead, please follow this procedure:
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Obtain documentation from physician stating the individual is terminally ill or in a coma (The person does not have to be on "Hospice" services.)
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Hospital assessor sends the documentation to the Nursing Facility
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Nursing Facility staff sends the documentation to the CARE Coordinator at the local Area Agency on Aging
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Area Agency on Aging Assessor gives the documentation to their CARE Coordinator
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CARE Coordinator sends a copy to the documentation to the Kansas Department on Aging (KDOA) staff; KDOA sends a letter out to the individual at the Nursing Facility
January 2009
**You may still continue to fax exemption letter information to the Area Agency on Aging as you have been doing.