Virginia Medicaid
Menu

LTSS Screening


Overview

In 1982, § 32.1-327.2 (re-codified at § 32.1-330) of the Code of Virginia was revised to require preadmission screening (PAS) for all individuals requesting Medicaid Long-term Services and Supports (LTSS) which includes home and community-based services (HCBS) or institutional long-term care. Medicaid LTSS Screening is the first level of authorization for Medicaid reimbursement for nursing facility level-of-care, Commonwealth Coordinated Care Plus (CCC Plus) waiver, and Program for All-inclusive Care for the Elderly (PACE).

Screening ensures Medicaid-eligible individuals, and those who will become eligible for Medicaid within six months, meet the required level of care criteria. This criteria is based on the degree of support needed to perform activities of daily living (ADL); whether the individual has medical or skilled nursing needs; and is “at risk” for nursing facility admission within 30 days of the screening in the absence of services (42CFR§441.302). Screening is conducted by hospital staff at discharge and by community-based teams including staff from local departments of social services and health.

DMAS has strengthened the screening process by developing an automated screening submission and claims process. In collaboration with the Virginia Department of Health (VDH) and the Department for Aging and Rehabilitative Services (DARS), DMAS developed an electronic preadmission screening system called ePAS that eliminated paper forms associated with the PAS process, including the UAI, and included an electronic claims submission process for Medicaid reimbursement to the screening entities. The system enables DMAS to track the time between a request for a screening and completion of that screening as well as whether an individual chooses a nursing facility or community-based program for services.

Effective September 1, 2016, emergency regulations created the framework for defining and managing the screening process. Development of the final regulatory package is in process with anticipated completion by August 2018.


Attention all Authorized Screeners for DMAS Medicaid Long Term Services and Supports (LTSS)

The Department of Medical Assistance Services (DMAS) and Virginia Commonwealth University, Partnership for People with Disabilities are pleased to provide on-line, modular training related to the Medicaid Long-Term Services and Supports (LTSS) Screening process. This training is being offered to enable Screeners to meet Virginia regulation provisions regarding the LTSS Screening process and to meet training requirements as stated in 12VAC30-60-310.

Information regarding the training is provided below. We encourage you to review the introduction module prior to registering for the training as the module provides useful information regarding how to proceed in the registration process. This module can be accessed here:https://medicaidltsstraining.partnership.vcu.edu/intromodule/intro.html

Screeners and guests should allow approximately five hours for the full training. Physicians taking only Module 5 should allow at least 30 minutes.

You do not need to complete the training in one session and are free to leave the training site and return as many times as you’d like.

Click link below to register either as a screener or as a guest:
https://medicaidltss.partnership.vcu.edu/register

Additional instructions and contact information for DMAS Medicaid LTSS Training can be found here:


Screening Connection

Screening Connections for LTSS - DMAS New Website, May 11, 2021

Screening Connections for LTSS - Program of All-inclusive Care for the Elderly (PACE), April 13, 2021

Screening Connections for LTSS - Navigating e-PAS, the Electronic LTSS Screening Portal, March 9, 2021

Screening Connections for LTSS - Updates and Q&A Informational Session, February 9, 2021

Screening Connections for LTSS - Questions & Answers from February 9, 2021

Screening Connections for LTSS - Updates and Q&A Informational Session, January 12, 2021

Screening Connections for LTSS - New Skilled Nursing Facility LTSS Screening Teams and HB/SB 902 December 15, 2020

Screening Connections for LTSS - DMAS 108 & 109 Private Duty Nursing Forms, December 8, 2020

Screening Connections for LTSS - Updates and Q&A Informational Session, November 10, 2020

Screening Connections for LTSS - Q&A Informational Session, September 8, 2020

Screening Connections for LTSS - Considerations When Screening Children, August 11, 2020

Screening Connections for LTSS - Valid LTSS Screenings, July 14, 2020

Screening Connections for LTSS - Navigating DMAS Websites, June 9, 2020

Screening Connections for LTSS - E-PAS User Log-In Review & Issues, May 12, 2020

Screening Connections for LTSS - Update on Status of Issues, April 14, 2020

Screening Connections for LTSS - Current Updates, March 10, 2020

Screening Connections for LTSS - E-PAS Voids, February 11, 2020

Screening Connections for LTSS - Opening the Door for Medicaid LTSS, January 14, 2020



Screening Manual

Screeners may visit the Virginia Department of Social Services (VDSS) website to access the screening Manual.

Virginia Department of Social Services UAI User's Manual

Virginia Medicaid Web Portal