---
kind: "section"
citation: "42 C.F.R. § 483.132"
title: "42"
number: "483.132"
heading: "Evaluating the need for NF services and NF level of care (PASARR/NF)."
url: "https://uscodex.org/cfr/42/483.132"
---

# §483.132. Evaluating the need for NF services and NF level of care (PASARR/NF).

- (a) **Basic rule.** For each applicant for admission to a NF and each NF resident who has MI or IID, the evaluator must assess whether—
  - (1) The individual's total needs are such that his or her needs can be met in an appropriate community setting;
  - (2) The individual's total needs are such that they can be met only on an inpatient basis, which may include the option of placement in a home and community-based services waiver program, but for which the inpatient care would be required;
  - (3) If inpatient care is appropriate and desired, the NF is an appropriate institutional setting for meeting those needs in accordance with [§ 483.126](/cfr/42/483.126.md); or
  - (4) If the inpatient care is appropriate and desired but the NF is not the appropriate setting for meeting the individual's needs in accordance with [§ 483.126](/cfr/42/483.126.md), another setting such as an ICF/IID (including small, community-based facilities), an IMD providing services to individuals aged 65 or older, or a psychiatric hospital is an appropriate institutional setting for meeting those needs.
- (b) **Determining appropriate placement.** In determining appropriate placement, the evaluator must prioritize the physical and mental needs of the individual being evaluated, taking into account the severity of each condition.
- (c) **Data.** At a minimum, the data relied on to make a determination must include:
  - (1) Evaluation of physical status (for example, diagnoses, date of onset, medical history, and prognosis);
  - (2) Evaluation of mental status (for example, diagnoses, date of onset, medical history, likelihood that the individual may be a danger to himself/herself or others); and
  - (3) **Functional assessment (activities of daily living).**
- (d) Based on the data compiled in § 483.132 and, as appropriate, in §§ [483.134](/cfr/42/483.134.md) and [483.136](/cfr/42/483.136.md), the State mental health or intellectual disability authority must determine whether an NF level of services is needed.

## 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.