Specifications include, but are not limited to: 2.1 Clinical Review of Level I Screenings 1. The Contractor shall review all Level I Screenings to determine if there is an indication or suspicion of mental illness and/or intellectual disability/developmental disability and the appropriateness of nursing facility (NF) placement. 2. The Contractor shall determine if any approved reason applies which would negate the need for Level II PASRR screening as outlined in applicable federal and state regulations. 3. Clinical Reviews of Level I Screenings shall be conducted by qualified clinical staff who must meet all requirements set forth by federal law, CMS, and state law for scope of practice. 2.2 Advanced Group Categorical Determinations The Contractor shall determine if conditions are present for an Advance Group Categorical Determination. Some MI, ID/DD or RC individuals are unlikely to need or benefit from specialized services. These individuals may be recommended for nursing facility admission without being referred for Level II screening provided they meet criteria as outlined in federal and state regulations following a clinical review of the Level I screen by the Contractor. If the screening clinician, who meets criteria as defined by DOM, believes that the individual would benefit from specialized services despite the presence of any of the above conditions, the screening clinician should refer the individuals for a Level II Screening. Findings for Advanced Group Categorical Determinations must be documented in a brief written evaluative report by the screening clinician. 2.3 Level II Screening The Contractor shall conduct initial face-to-face Level II Screenings within two (2) business days of receiving the request for all individuals referred by the Level I and not determined to be exempt through the clinical review process. The level II Screening will confirm or deny the appropriateness for nursing facility placement. The Level II will identify the need for and recommend special services. The Level II Screening shall be completed prior to nursing facility admission, except in extremely rare situations, as outlined in federal and state regulations.