Emergency PASRR Process

Complete the Screening for PASRR Level II Form and submit with a Letter from APS on Letterhead

FOR THE FORM

  1. Go to  OHCA website: okhca.org 
  2. Click on “Providers”
  3. Click on “Behavioral Health”
  4. Scroll Down to Preadmission Screening and Resident Review (PASRR)
  5. Please select “Screening for Level II PASRR”
  6. Fill out every field of the form
  7. Fax the form to 405-708/7181 or
    Email to Karen.Navarro@okhca.org , Nathan.Pease@okhca.org , Steve.Wynn@okhca.org
  • This document must be typed. Handwritten PASRR referrals will not be accepted.
  • Do not put an analyst’s name (i.e. “Attention _________” ) on the form. The Behavioral Health screeners will assign the PASRRs to the analysts.
  • Level II PASRRS are worked in the order received.
  • You will get a call from Karen or Steve or Nathan when they receive the referral.
  • You will receive a call from an analyst within approximately two working days after you submit the PASRR.
  • If placement is a Holiday or a Weekend you can send to the PASRR Unit the following work day.

FOR THE LETTER

Include the client’s Name, Date of Birth, Social Security Number

Include the reason the client needs emergency placement

Include if the client is ID or has mental illness.  List any known medical issues and current medications. Include the nursing home’s Name, Address, Contact Person, and Contact Person’s Telephone number.

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