Protocol for Flood Evacuees - Facilities Serving Children Under Age 21 These procedures apply strictly to individuals displaced by flooding and detail required associated screening/evaluations per instructions from the Division of Medical Assistance, Barb Fischer. New Admissions For individuals admitted from community settings, the CON/Admission screening must be completed by day 10 by the receiving facility with DDM Ascend. Transfer of individuals going from facility A to facility B and back to facility A: Continued Stay Review requirements are waived for 30 days for individuals displaced by flooding. If an individual has a valid CON and is approved for treatment prior to flood evacuation and is moving from one acute facility to another (or one PRTF to another), a CSR is not required for 30 days after the individual's return to the original facility. If the individual is still present in the original facility at day 31, screening requirements apply and days will not be covered by Medicaid unless the individual has been reviewed by DDM Ascend and approved. Transfer of individuals going from facility A to facility B and who remain at facility B: If an individual has a valid CON/admission screening and is approved for treatment prior to flood evacuation and is moving from one acute facility to another (or one PRTF to another), an admission screen is required immediately upon identification that the individual will not be returning to the original facility. |
There are two types of Acute Admission Reviews: Emergency and Elective. Emergency admissions occur when an individual is at imminent risk for harm (e.g., suicidal ideation/gesture, homicidal ideation/gesture, or severe psychosis). Emergency admissions are not planned in advance because the imminent risk typically arises suddenly and unexpectedly. Emergency admission reviews must be submitted to Ascend on the day of or within 2 business days after the admission. Elective admissions occur when an individual requires inpatient care but is not at imminent risk for harm (e.g., monitoring during medication change). Generally, any transfer from a secure, structured setting (e.g., juvenile detention, a group home/foster setting, PRTF or acute facility) to an acute setting is considered elective unless the individual is exhibiting specific behaviors posing imminent danger to others or self. Elective admission reviews must be submitted on the day of or up to 3 days prior to admission. |