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Nevada Medicaid Services Manual (MSM) Chapter 3500, Section 3503.1E - Personal Care Services (PCS) Authorization, Functional Assessment Service Plan (FASP), and Reassessment

Nevadasub-regulatoryNevada Department of Health and Human Services, Division of Health Care Financing and Policy (DHCFP)

What this rule requires your agency to do

  • 1The provider must submit a reassessment request to the QIO-like vendor as soon as a significant change in the recipient's condition is known. (NV MSM 3503.1E.3)(Nevada Medicaid Services Manual (MSM) Chapter 3500, Section 3503.1E - Personal Care Services (PCS) Authorization, Functional Assessment Service Plan (FASP), and Reassessment)
  • 2The provider/agency must have an enrolled and trained physical or occupational therapist complete an in-home Functional Assessment Service Plan (FASP) for the recipient before personal care services are authorized. (NV MSM 3503.1E)(Nevada Medicaid Services Manual (MSM) Chapter 3500, Section 3503.1E - Personal Care Services (PCS) Authorization, Functional Assessment Service Plan (FASP), and Reassessment)
  • 3The therapist must contact the recipient to schedule an appointment for completion of the FASP, and may follow the in-home visit with an in-clinic visit based on clinical judgment. (NV MSM 3503.1E)(Nevada Medicaid Services Manual (MSM) Chapter 3500, Section 3503.1E - Personal Care Services (PCS) Authorization, Functional Assessment Service Plan (FASP), and Reassessment)
  • 4A reassessment based on a significant change must be accompanied by documentation from the recipient's physician or health care provider. (NV MSM 3503.1E.3)(Nevada Medicaid Services Manual (MSM) Chapter 3500, Section 3503.1E - Personal Care Services (PCS) Authorization, Functional Assessment Service Plan (FASP), and Reassessment)
  • 5The provider must submit reassessment requests for ongoing (continued) services to the QIO-like vendor at least 60 days, but not more than 90 days, prior to the expiration date of the current authorization. (NV MSM 3503.1E.2)(Nevada Medicaid Services Manual (MSM) Chapter 3500, Section 3503.1E - Personal Care Services (PCS) Authorization, Functional Assessment Service Plan (FASP), and Reassessment)

Applies to: personal care services

Nevada Medicaid MSM Chapter 3500 (Section 3503.1E) governs the assessment and reassessment process for the Personal Care Services program. An enrolled and trained physical or occupational therapist performs an in-home Functional Assessment Service Plan (FASP), with annual reassessment and reassessment upon significant change in condition, all authorized through the QIO-like vendor.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.