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The Preadmission Review department is responsible for issuing the PAS Result and LOC. In Ohio, the Area Agencies on Aging have a contract with both the Ohio Dept of Aging (ODA) and Ohio Dept of Jobs and Family Services to perform the Preadmission Review process for all individuals seeking admission to Medicaid certified nursing facilities. Preadmission review also issues LOC’s (levels of care) for NF residents converting to Medicaid vendor payment, and LOC’s for NF residents transferring from one Medicaid certified NF to another.

Absent a sealed environment, we lose water vapor, CO2, and other gases. It is obvious that when we grow a crop of which humans eat only a portion, the rest of the plant must be recycled by animals or microorganisms before the nutrients are again available for plant growth. Think of the kernels eaten on an ear of corn, vs the total mass of the plant.