Pre-Admission Screening Program
Updated: Feb 12, 2019
Every person entering a nursing home in Indiana must go through a pre-admission screening program. The program applies to all applicants for a nursing home, not just persons eligible for Medicaid. Unless you have a mental illness or a developmental disability diagnosis, you may choose not to participate, but then you will be ineligible for Medicaid coverage of the nursing home costs for one year after the date you enter the nursing home.
Under the pre-admission screening program, a team of persons (including your doctor) will assess your medical, social, and psychological needs to decide whether those needs can be met by services available in the community.
If such services can meet your needs without a nursing home and at less than the cost of nursing home care, then your placement in a nursing home will be disapproved. Disapproval does not mean that you may not enter the nursing home, but it does mean that you will be ineligible for Medicaid coverage of the nursing home’s costs for one year.
If community services are not available to meet your needs, or if they cost more than the cost of nursing home care, then your admission to a nursing home will be approved.