---
kind: "section"
citation: "42 C.F.R. § 483.112"
title: "42"
number: "483.112"
heading: "Preadmission screening of applicants for admission to NFs."
url: "https://uscodex.org/cfr/42/483.112"
---

# §483.112. Preadmission screening of applicants for admission to NFs.

- (a) **Determination of need for NF services.** For each NF applicant with MI or IID, the State mental health or intellectual disability authority (as appropriate) must determine, in accordance with [§ 483.130](/cfr/42/483.130.md), whether, because of the resident's physical and mental condition, the individual requires the level of services provided by a NF.
- (b) **Determination of need for specialized services.** If the individual with mental illness or intellectual disability is determined to require a NF level of care, the State mental health or intellectual disability authority (as appropriate) must also determine, in accordance with [§ 483.130](/cfr/42/483.130.md), whether the individual requires specialized services for the mental illness or intellectual disability, as defined in [§ 483.120](/cfr/42/483.120.md).
- (c) **Timeliness—**
  - (1) Except as specified in [paragraph (c)(4)](#c-4) of this section, a preadmission screening determination must be made in writing within an annual average of 7 to 9 working days of referral of the individual with MI or IID by whatever agent performs the Level I identification, under [§ 483.128(a)](/cfr/42/483.128.md?p=a) of this part, to the State mental health or intellectual disability authority for screening. (See [§ 483.128(a)](/cfr/42/483.128.md?p=a) for discussion of Level I evaluation.)
  - (2) The State may convey determinations verbally to nursing facilities and the individual and confirm them in writing.
  - (3) The State may compute separate annual averages for the mentally ill and individuals with intellectual disabilities/developmentally disabled populations.
  - (4) The Secretary may grant an exception to the timeliness standard in [paragraph (c)(1)](#c-1) of this section when the State—
    - (i) Exceeds the annual average; and
    - (ii) **Provides justification satisfactory to the Secretary that a longer time period was necessary.**

## Notes

### Source

Source: 57 FR 56506, Nov. 30, 1992, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1320a-7, 1395i, 1395hh and 1396r.