The Client Assessment, Referral and Evaluation (CARE) program, more commonly referred to as nursing home assessment, was created in 1994 by the Kansas Legislature as the Kansas response to the Federally mandated Pre-Admission Screening and Resident Review (PASRR) program. The goals of the assessment are to provide customers individualized information on long-term care options, determine appropriate placements in long-term care facilities, and collect data regarding individuals being assessed for possible nursing facility placement at Level I. For those individuals found to need further evaluation for specialized services related to Intellectual/Developmental Disability or Related Conditions and/or Mental Health an in-depth assessment is conducted, known as the CARE Level II.
The Care Level I assessments are conducted by assessors through the local Aging and Disability Resource Center (ADRC). If a person discharges to the nursing home from a hospital the hospital assessor may complete the CARE assessment. Level I must be completed prior to entering a nursing home. The nursing home is required to have a copy of your Level I CARE assessment certificate in your medical record.
There are two (2) exceptions to receiving a CARE Level I assessment. When a person receives a diagnosis of “six months or less of life expectancy,” a “terminal illness” letter may be issued in lieu of a CARE assessment. If a person is entering a nursing home for a period of 30 days or less, the CARE will not be required. If by day 20 of this stay it appears the person will be unable to be discharged from the nursing home, the nursing home will contact the local ADRC and request a CARE assessment.
The CARE Level I assessment will provide a “level of care score” which is provided to the Department of Children and Families (DCF) for those persons wishing to utilize Medicaid as payment for nursing home care. The Level I screens for “functional eligibility” only; DCF determines fiscal eligibility for Medicaid.
Meeting the “functional eligibility” score does not guarantee that a person will be eligible for Medicaid for payment for nursing home care. Should you feel the functional eligibility score on your CARE assessment is inaccurate, there are instructions on the back of the CARE Certificate with contact information to appeal this decision.
For those persons requiring a Level II CARE evaluation it is important to note this must be completed PRIOR to admission to the nursing home. CMS has tied nursing home payment for care given to the completion of PASRR. No FFP is available for payment to the nursing home until PASRR is completed.
If you have questions regarding the CARE program please contact the CARE office at 785-368-7323 or call KDADS at 785-296-4986 and request to be transferred to the CARE office.