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c. Assures that the PASRR authorities fulfill their statutory responsibilities; d. Oversees NF compliance with any assigned PASRR functions established by the BHDDH in level II evaluations; e Requires that no person be admitted to a Medicaid certified NF without a PASRR level I PAS; f. Ensures any specialized services determined necessary in the PASRR evaluation process are made available; g. Notifies the NF resident related of the outcome of the PASRR determination and indicates whether specialized services are needed, the placement options available to the person, and appeal rights (See 42 C.F.R. §§ 483.130(k), 483.130(l)). h. Provides a system of appeals for persons affected by any PASRR determination; and i. Withholds Medicaid payment for any person who is living with a developmental disability or serious mental/behavioral health condition who is admitted to a NF without PASRR Level II or who remains in a NF contrary to PASRR rules. 2. BHDDH -- As the State's mental health authority, BHDDH retains control and responsibility for PASRR and must make timely level II evaluations. In addition, BHDDH ensures that all PASRR level II findings are issued in the form of a written evaluative report which is provided to the applicant/resident and their legal guardian, the admitting or retaining NF, the attending physician and where applicable the discharging hospital of the applicant or resident; and arranges for the provision of specialized services when appropriate in the NF setting or alternative placement option. 3. Nursing facilities -- NFs are responsible for the maintenance of all PASSR forms within a person’s record. In addition, to ensure documentation compliance, nursing facilities are required to maintain an active list of anyone within the PASRR MBH and DD/ID services. NFs must also: a. Care planning. NFs must also consider the PASRR, other related assessments and treatment recommendations within the care planning process. During the resident’s annual care planning process, the nursing facility must complete a full assessment and care plan update for anyone receiving PASRR-related services.