Yes, always. A new Level I will always be needed when a NF resident is psychiatrically hospitalized. This is considered a status change and must be reported via a new Level I screen. Because the individual is already a NF resident, this is a submission of a Resident Review (RR), also known as a Status Change (SC) rather than a Preadmission Screening (PAS).
This can be identified on the Level I screen under the Reason for Screening (NF resident who is currently hospitalized in a psychiatric hospital/unit and an evaluation is needed to ensure NF readmission is appropriate) and/or under Status Change (Increased behavioral, psychiatric, or mood related symptoms). The status change must be submitted within 14 days of when the person has returned to the NF, but if there is any doubt about whether the level of services may change as a result of the behavioral health change that led to hospitalization, the NF may ask the hospital to submit the Level I so a Level II can be completed prior to the individual’s return to the NF.