Using the NFSS form in SimpleCFS™

A quick look at what a NFSS form is and how to submit one in SimpleLTC.

What is a NFSS Form?

• It initiates all PASRR nursing facility specialized services (NFSS) that are recommended and agreed to at:
• The initial IDT meeting
      -    or    -
• A specialized services review meeting

• It is used to request the following nursing facility specialized services:
• Physical therapy (PT)
• Occupational therapy (PT)
• Speech therapy (ST)
• A customized manual wheelchair (CMWC)
• Durable medical equipment (DME), which consists of:
  • A gait trainer
  • A standing board
  • A special needs car seat or travel restraint
  • A specialized or treated pressure-reducing support surface mattress
  • A positioning wedge
  • A prosthetic device
  • An orthotic device

When to submit a NFSS form:

• Within 30 days from the date of the initial IDT or specialized services review meeting

When not to submit a NFSS form:

• When the individual is not eligible for Medicaid
• When the individual is not PASRR Positive
• When requesting rehabilitative services or customized power wheelchairs