Nursing Home Care

Level II Evaluation

Level I screens are completed by delegated staff at hospitals and nursing homes. If the Level I screen identifies possible Serious Mental Illness (SMI), Intellectual Disability (ID), or a Related Condition (RC), a Level II evaluation is required prior to admission into a nursing home. The Department of Developmental Services (DDS) is responsible for ID/RC Level II Evaluations. The Department of Health Care Services (DHCS) is responsible for SMI Level II Evaluations and has contracted with Acentra Health, formerly Kepro, to perform these services for the state of California. PASRR Level II evaluations must be completed by Kepro within 72 hours of completion of the positive Level I screen.

As part of the Level II evaluation process, Acentra reviews the positive Level I screen and contacts the submitting facility by phone to complete an Initial Screen to determine if a Level II evaluation is needed.  If the Initial Screen confirms the presence or likelihood of serious mental illness, Acentra will schedule and complete the Level II Evaluation. This person-centered, comprehensive assessment is used to determine if the person meets criteria for a serious mental illness, if nursing facility level of services are appropriate, and if specialized services or specialized rehabilitative services are needed while residing in the nursing home.  PASRR Level II evaluations are completed through face-to-face or telehealth interview.

Telehealth Requirements

Acentra Health utilizes Microsoft Teams to complete telehealth assessments. Prior to performing the assessment, Acentra will inform the individual of the option to utilize telehealth and obtain written consent to use telehealth. Relevant and current medical records, including written consent, must be submitted by the referring facility within 48 hours of completion of the positive Level I screen or the case will be closed.

A list of the required medical records and link to the consent form can be found below.  Documents must be sent to Acentra via fax at 844-523-6388 or by email at CAPASRR@kepro.com within 48 hours from the time of Level I submission.

Required Documents