DMAS will soon enforce the “no UAI / no payment” policy for nursing facility residents admitted on and after July 1, 2019. This will be enforced in both the CCC Plus and the fee-for-service programs. Remember to customize and share the draft letter prepared by VHCA-VCAL with your  hospital referral partners explaining the necessity of having a completed Long-Term Services and Supports (LTSS) Screening prior to admitting a patient to a nursing facility from a hospital.

Without the completed LTSS Screening or documentation of the specified exemption from the screening process, centers cannot admit patients from the hospital after July 1, 2019 as they will not be paid for any Medicaid services. In addition to the sample letter, we have also prepared a FAQ. VHCA-VCAL continues to press DMAS to urge the agency to finalize the Non-Screening Notification Form. This document is an essential component of the screening process to be used to document a reason why an individual was exempted from the screening. We will share that form as soon as it is available. 

VHCA-VCAL recommends that you share the preadmission screening letter to hospitals, or some similar communication, be sent to hospital executive staff as well as individuals with an understanding of or responsibility for the preadmission screening process.

Toolkit and Additional Resources
Preadmission Screening Letter to Hospitals
Frequently Asked Questions Related to PASRR and Screening for LTSS
Reminder: Complete PASRR/Level I Screenings
Tips for Completing PASRR/Level 1 Screenings by July 1