Short answer
PAA means Private Admission Assessment, a clinical evaluation used to decide if a patient can enter a skilled nursing facility while paying privately. It also helps prepare for future Medicaid eligibility if circumstances change.
Key points
- PAA evaluates medical and functional needs for skilled nursing care.
- It applies to patients who intend to pay privately or may apply for Medicaid later.
- The assessment covers history, cognition, mobility, and daily living skills.
- Results can guide facility choice and future insurance applications.
- PAA offers flexibility in timing compared to standard Medicaid reviews.
A Private Admission Assessment (PAA) is a clinical review that determines whether a patient meets the criteria for skilled nursing care while paying privately. The assessment also records information useful if the patient later applies for Medicaid.
When is a PAA used?
PAA is requested when a family or patient wants to place someone in a Medicaid‑certified nursing facility but the resident will not pay Medicaid initially. It also serves patients who anticipate a change in their financial situation.
What does the assessment include?
The PAA examines medical history, cognitive status, mobility, and ability to perform activities of daily living. The data help match the patient with a facility that can provide the appropriate level of care.
Completing a PAA gives families a clear picture of the facility’s capabilities and allows them to plan both short‑term and long‑term care needs.
Frequently asked questions
Can a PAA be used for patients who already have long‑term care insurance?
The assessment focuses on clinical eligibility, not insurance status, and can be completed even if the patient is covered by long‑term care insurance.
Does a PAA guarantee admission to a nursing facility?
It determines clinical suitability but the final admission decision depends on the facility’s capacity and policies.
Will the information from a PAA help with a future Medicaid application?
The documentation of medical and functional status can support a later Medicaid eligibility review if the patient’s finances change.
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