32 Miss. Code. R. 1-6.11
Current through December 10, 2024
The PAS consist of ten (10) sections, most of which have two (2) or more subsections. The table below lists the sections/subsections and identifies the populations for whom each subsection applies.
| Section/Subsection | Applies to: |
| I Intake | All Applicants |
| II Functional Screen | |
| IIA ADL's & IADL's | All Applicants |
| IIB Communication/Sensory | All Applicants |
| III Cognitive Screen | All applicants (caregiver response component applies only if caregiver is present) |
| IV Mood/Psychosocial & Behaviors | |
| IVA Mood/Psychosocial | All Applicants |
| IVB Behaviors | All Applicants |
| V Medical Screen | |
| VA Medical Conditions | All Applicants |
| VB Health-Related Services | All Applicants |
| VC Medications | All Applicants |
| VD Medical Stability | All Applicants |
| VE Medical Summary | All Applicants |
| VI Social Supports | |
| VI.1 Primary Caregiver | All applicants with a primary caregiver |
| VI.2 Formal Agency Supports | All Applicants |
| VII Home Environment | All applicants except Nursing Home and other institutional residents not seeking community placement |
| VIII Informed Choice | |
| VIII.1 Individual Strengths | All applicants except Nursing Home and other institutional residents not seeking community placement |
| VIII.2 Program Options & Desired Assistance | All Applicants |
| VIII.3 Individual Choice | All Applicants |
| IX Level II Determination (PASRR) | All applicants presented with Nursing Facility Placement as an option in Section VIII |
| X PAS Summary & Physician Certification | All Applicants |
The PAS application may be reviewed in its entirety by logging on to: www.dom.state.ms.us, select Providers, select Envision. Enter your User ID and Password, select Provider, Long Term Care, PAS and Hardcopy PAS Application.
32 Miss. Code. R. 1-6.11