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- Contractor
Operations Manual for Preadmission Screening and Resident
Review/Mental Illness (PASRR) Level II Evaluations
- (280 KB) - Appendix I - Minimum Data Set (MDS) Version 2.0 For Nursing Home Resident Assessment and Care Screening (569 KB)
- Appendix II - Preadmission Screening and Resident Review/Mental Illness (PASRR/MI) Level II Evaluation Document - MH 1733 (10/06/05) (67 KB)
- Appendix III - Specialized Services Procedure (17 KB)
- Appendix IV - DSM IV Diagnoses and Codes (35 KB)
- Appendix V - Level I Screening Document (DHS 6170) (152 KB)
- Appendix VI - Documentation of Completion Form (14 KB)
- Appendix VII - County Code List (20 KB)
- Appendix VIII - Medical Reference Table (66 KB)
- Appendix IX - ICD-9-CM Codes (56 KB)
- Appendix X - Global Assessment of Functioning (GAF) Scale (16 KB)
- Appendix XI - Special Treatment Programs, Declared Institutions for Mental Disease, Additional Skilled Nursing Facility Beds (9 KB)
- Appendix XII - Premium PASRR Level II Evaluation Areas/Facilites (16 KB)
- Appendix XIII - Intermediate Care Facilities (ICFs) (7 KB)
- Appendix XIV - References & Supporting Materials for Level II Current Cognitive Status Exam Items (157 KB)
- Appendix XV - Referrals for Fiscal Years (18 KB)
- Divider Sheets - Cover Page, Sections Dividers and Table of Contents (47 KB)
