May 1, 2012

This file below for download contains the 1992 notice of final rule for PASRR. Of note are the summary of public comments to the Proposed Rule and CMS (then HCFA) responses, in which the agency explains why it took positions in the Final Rule. While these discussions do not have the force of regulation, they are helpful in understanding what the sometimes difficult regulatory language is meant to do. Keep in mind that at this point, after more than twenty years of implementing the PASRR program, and with many changes in the fields of mental health and intellectual disability, CMS may choose to describe some policies and requirements a little differently. The text of the actual regulation, as published in the Code of Federal Regulations (CFR), is at the very end of the document, and has not changed since that time.