A. Prescreen The Contractor will complete the following steps associated with the prescreen phase of the preadmission process within three business days of receiving a complete referral from a TAH. If an incomplete prescreen referral is received, the Contractor must notify the requesting TAH through the system or alternate means as requested by the TAH. Only complete referrals resulting in a determination may be billed. All notifications required herein must be recorded and made available within the Contractor’s web-based system and communicated to requesting TAHs via secure email. 1. Receive referral from the requesting TAH via the contractor’s web-based system to prescreen an applicant. Complete referrals must include the applicant’s: a. Name b. Date of birth c. Guardianship information, if applicable d. Medicaid identification number, if applicable e. Completed New York State Office of Mental Health’s Psychiatric Services and Clinical Knowledge Enhancement System (PSYCKES) consent form 2. Access PSYCKES record for the applicant, determine the status of a mental health placement flag (“flag”), and notify the requesting TAH of the results within three business days of receiving a complete referral. a. If a flag is present, then proceed to notify the requesting TAH that their applicant is suspected of having SMI and that a mental health evaluation must be completed if the TAH wishes to continue with the preadmission process. b. If a flag is not present, review the totality of the applicant’s PSYCKES record and determine: i. If sufficient information is available to support a finding that SMI is not suspected, notify the requesting TAH that the applicant does not require the Contractor’s mental health evaluation prior to admission; or, ii. If the information is insufficient to determine that the applicant is not suspected as having a serious mental illness, notify the requesting TAH that they have three options: 1. Provide additional information (see below Mental Health Evaluation 1. a.- g.) to the Contractor for review and determination if the applicant is suspected of having an SMI; 2. Request that the Contractor perform a mental health evaluation using DOH-Form 5075 to determine if the applicant has an SMI; or, 3. Request that the Contractor close the referral from further consideration.
