HB2258: Nursing facility services; preadmission screening.
Be it enacted by the General Assembly of Virginia:
1. That § 32.1-330 of the Code of Virginia is amended and reenacted as follows:
§ 32.1-330. Preadmission screening required.
All individuals who will be eligible for community or
institutional long-term care services as defined in the state plan for medical
assistance shall be evaluated to determine their need for nursing facility
services as defined in that plan. The Department shall require a preadmission
screening of all individuals who, at the time of application for admission to a
certified nursing facility as defined in § 32.1-123, are eligible for medical
assistance or will become eligible within six months following admission. For
community-based screening for adults, the screening team shall
consist of a nurse shall be performed by a licensed health care provider,
social worker or other assessor designated by the Department, and physician
who are employees of the Department of Health, the local department of
health, or the local department of social services or a team of licensed
physicians, nurses, and social workers or an individual or entity with
whom the Department of Health, the local department of health, or the local department
of social services has entered into a contract for performance of such
screenings. For community-based screening for children, the screening shall be
performed by an individual or entity with whom the Department has entered into
a contract for the performance of such screenings. For clients at the
Woodrow Wilson Rehabilitation Center (WWRC) for WWRC clients only,
the screening shall be performed by a member of a team of licensed physicians,
nurses, and social workers at the WWRC. For institutional screening, the
Department shall may contract with acute care hospitals. The
Department shall contract with other public or private entities to conduct
required track and monitor requests for all community-based and other
institutional long-term care screenings or shall contract with
one or more vendors to track and monitor requests for screenings and shall
report such information to the Secretary. The Department shall contract with
public or private entities to conduct required community-based screenings for
adults in addition to or in lieu of the screening teams described in
individuals or entities authorized to conduct screenings pursuant to this
section in jurisdictions in which the screening team has been unable to
complete screenings of individuals are not completed within 30
21 days of such individuals'individual's application for
admission.
2. That the Board of Medical Assistance Services shall promulgate regulations to implement the provisions of this act to be effective within 280 days of its enactment.
3. That the Board may implement any changes necessary to implement the provisions of this act upon its passage and prior to the promulgation of regulations necessary to implement the provisions of this act.
4. That the Department of Medical Assistance Services shall identify, by July 1, 2016, those jurisdictions in which preadmission screenings for adults required by § 32.1-330 of the Code of Virginia are not completed within 21 days of such individual's application for admission to a certified nursing facility and shall determine, for those jurisdictions, (i) the number of screenings that are not completed within 21 days of the individual's application for admission and (ii) for each screening that is not completed within 21 days of the individual's application for admission, the total number of days that elapsed between the application for admission and completion of the screening.
5. That the provisions of this act requiring the Department of Medical Assistance Services to contract with public or private entities to conduct community-based screenings for adults in addition to or in lieu of the individuals or entities authorized to conduct screenings pursuant to § 32.1-330 of the Code of Virginia as amended by this act in jurisdictions in which the individuals or entities authorized to conduct screenings fail to complete screenings within 21 days of the individual's application for admission to a certified nursing facility shall become effective January 1, 2017.
HOUSE BILL NO. 2258
Be it enacted by the General Assembly of Virginia:
1. That § 32.1-330 of the Code of Virginia is amended and reenacted as follows:
§ 32.1-330. Preadmission screening required.
All individuals who will be eligible for community or
institutional long-term care services as defined in the state plan for medical
assistance shall be evaluated to determine their need for nursing facility
services as defined in that plan. The Department shall require a preadmission
screening of all individuals who, at the time of application for admission to a
certified nursing facility as defined in § 32.1-123, are eligible for medical
assistance or will become eligible within six months following admission. For community-based screening, the screening team shall consist
of a physician and a nurse, social worker, or other assessor designated by the Department, and physician who are
employees of the Department of Health or the local department of social
services, or a
team of licensed physicians, nurses, and social workers at the Woodrow Wilson
Rehabilitation Center (WWRC) for WWRC clients only. For institutional
screening, the Department shall may contract with acute care hospitals. The Department shall may
contract with other public or
private entities to one
or more vendors to receive, conduct
required, track, and monitor
requests for all community-based and other institutional long-term care screenings in addition to or in lieu
of the screening teams described in this section in
jurisdictions in which the screening team has been unable to complete
screenings of individuals within 30 days of such individuals' application.
2. That the Board of Medical Assistance Services shall promulgate regulations to implement the provisions of this act to be effective within 280 days of its enactment.
3. That the Board may implement any changes necessary to implement the provisions of this act upon its passage and prior to the promulgation of regulations necessary to implement the provisions of this act.