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


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