State leads include employees in the state Medicaid office, the state intellectual disability authority, and the state mental health authority that are involved with the state's PASRR program. The contact information for the PASRR state leads (below) was last updated on August 14, 2017.
September 2017 PASRR Webinar Topic: Applying a Person-Centered Approach to PASRR Speaker: Pam Raby, LAPSW, consultant for PTAC Date: Tuesday, September 12th, 2017 Time: 1 - 2:30PM Eastern
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PASRR regulations at 42 CFR 483.128(m) permit Level II evaluations to be terminated if the Level II evaluator finds that individual has: “A primary diagnosis of dementia (including Alzheimer’s Disease or a related disorder)” (42 CFR 483.128(m)(2)(i)); or
States may apply the categorical determination at 42 CFR 483.130(h), to address a decision not to provide specialized services to individuals with dementia and intellectual disability. “(h) Categorical determinations: Dementia and ID.
The dementia exclusion for mental illness allows for the Level II evaluator to stop the evaluation if they determine that the diagnosis of dementia is primary and the mental illness (MI) diagnosis is secondary. It is important to note that the diagnosis or verification of a diagnosis of MI and...
It can often be difficult to determine where MI/ID ends and dementia begins. Like ID/DD, dementia can manifest as cognitive impairments. Like MI, dementia can lead to anxiety, depression, or acute behavioral problems.
Since the ICD-10-CM coding went into effect on October 1, 2015, some State PASRR programs have reported an increase in PASRR volume, particularly in referrals for Level II Resident Reviews. The increase is largely attributed to the computer algorithm that converted ICD-9 codes to ICD-10 codes.
August 2017 PASRR A PDF copy of the presentation slides is available at the bottom of this page.
The most recent version of the Review of State PASRR Policies and Procedures National Report was released in March 2017.
July 2017 PASRR Webinar Topic: Resident Review: A Critical Component to Achieving PASRR’s Vision Speakers: Nancy Shanley and Andrea Womack, consultants for PTAC Date: Tuesday, July 11th, 2017 Time: 1 - 2:30PM Eastern
June 2017 PASRR Webinar Topic: Screens to Detect Common Behavioral Health Conditions Speaker: Ed Kako, Director of the PASRR Technical Assistance Center (PTAC) Date: Tuesday, June 13th, 2017 Time: 1 - 2:30PM Eastern
These issue paper provides written PTAC guidance to states on how to pay or arrange for Specialized Services, specifically for individuals with serious mental illness.
May 2017 PTAC Webinar Topic: How the PASRR Process Functions within a Nursing Facility Presenter: Dustin Dodson, consultant for the PASRR Technical Assistance Center (PTAC) Date: Tuesday, May 9th, 2017 Time: 1PM Eastern (10AM Pacific)