LTSS screening definition
LTSS screening means the process to (i) evaluate the functional, nursing, and social supports of individuals referred for screening for certain long-term care services and supports requiring nursing facility eligibility; (ii) assist individuals in determining what specific services the individual needs; (iii) evaluate whether a service or a combination of existing community services are available to meet an individual's needs; and (iv) provide a list to individuals of appropriate providers for Medicaid-funded nursing facility or home and community-based care for those individuals who meet nursing facility level of care.
Examples of LTSS screening in a sentence
For Members admitted to a NF under one of the Special Circumstances identified in 12 VAC ▇▇-▇▇-▇▇▇ who do not have a Medicaid LTSS screening, Company shall accept the MDS and may request the DMAS-80, Nursing Facility Admission, Discharge or Level of Care form.
Following the Department’s policy, Company must receive a copy of the LTSS screening package for Members admitted to a NF on or after July 1, 2019, prior to payment to a NF for that admission.
For Members in a NF prior to July 1, 2019, in the event that a LTSS screening has not been completed, Company must accept the MDS to validate NF eligibility and may request the DMAS-80 form.