32 Miss. Code. R. § 22-3.10.1.1 - HRC Screening Committee

The District Screening Committee reviews referrals to the hospital rehabilitation centers, using the Inpatient Referral Assessment form, to determine the appropriateness of the referral for services at one of the five centers.

Upon approval by the District Screening Committee, the referral will be forwarded to the State Screening Committee for review and processing. Referrals to the committee should be directed to the attention of CHAIRPERSON, HOSPITAL REHABILITATION CENTERS SCREENING COMMITTEE, P. O. BOX 1698, JACKSON, MS 39215-1698. Referrals should be received by Friday afternoon prior to Monday morning review. Referral information should include the following:

* Referral Assessment Form

* Referral (MDRS-VR-24) form

* AACE Personal Information/Application reports

* Medical Records

* A narrative that will address the following items:

a. primary purpose or need in referring the case to the rehabilitation center

b. medical stabilization

c. projected functional limitations

d. psychological status

e. circumstances of injury, i.e., evidence of substance abuse

f. high school grades if the referral is a minor or young adult

g. client's attitude and motivation

h. indicate stability of work history

i. recency of work

j. possibility of returning to previous employment ("Letter of Intent" from employer, if appropriate)

k. list of current job skills

l. client's potential for retraining

m. educational level

n. transferable skills to other employment

o. Labor market in local area

p. client's ability to relocate

q. family support status

r. client's resources and comparable benefits

Once the screening committee has approved a client for services at a center, the client does not have to be referred to the committee for any subsequent admissions.

Notes

32 Miss. Code. R. § 22-3.10.1.1