A Level II evaluation may be halted if the person has a diagnosis solely of dementia, or a diagnosis of dementia in combination with a non-PASRR disability. However, a Level II evaluation should not be halted if a PASRR disability has not yet been ruled out.
According to 42 CFR 483.102(b), a disorder qualifies as a mental illness (MI) for PASRR purposes if it satisfies three major criteria:
The Code of Federal Regulations (CFR) provides no specific guidance related to retention of PASRR records, but it does make clear that retention of PASRR records is a requirement. The basis of the requirement is addressed in two areas cited a
Although Nursing Facilities (NFs) are primarily responsible for helping individuals transition to the community, PASRR can play a vital role in helping NFs develop individualized plans of care that support successful transition.
There is a common misconception about this. The simple answer is "no" -- a test of intellectual functioning (IQ test) is not required by PASRR regulations.
The Code of Federal Regulations (CFR) at §483.130(d) provides examples of categories for which the State mental health or intellectual disability authority may make
The Final Rule was published in November 2016 (80 FR 42168).
42 CFR 483.130(h) provides that the State intellectual disability authority may make categorical determinations that individuals with dementia, whi
A swing bed is a bed that changes (or "swings") between providing hospital services and providing Medicare or Medicaid nursing facility services.
Regardless of their known diagnoses, all individuals applying to a Medicaid-certified nursing facility (NF) must undergo a Level I screen to determine if the individual possibly has a condition meeting PASRR’s definition of mental illness, intellectual disability or a related condition. A person...
The CFR does not specify how quickly Level I's must be completed, and with good reason: There is no baseline against which to establish timing requirements.
The Code of Federal Regulations (CFR) is clear at §483.102 that PASRR is required for all individuals who apply to or reside in a Medicaid-licensed nursing facility
Nursing facility (NF) refers to long-term care facility certified by the state survey agency (SSA) to provide services to Medicaid recipients. NFs typically provide long-term care, though they can also provide rehabilitative care to Medicaid beneficiaries following hospital discharge.
All individuals applying to a Medicaid-certified nursing facility (NF) must be screened for both mental illness and intellectual disability.
Originally, Resident Reviews—Level II post-admission evaluations—had to be conducted annually; hence, the original name of the program was Preadmission Screening and Annual Resident Review, or PASARR, which is the title that is still in the rule.
While MDS captures information about a person (medical, functional, cognitive, and social) at a moment in time, it does not evaluate individuals for the presence of disabilities defined for the purposes of PASRR.
In order to be eligible for federal financial participation (FFP), Specialized Services must be included in the State Plan.
To understand what PASRR activities cannot be claimed at the 75% Federal Financial Participation (FFP) match, one must first be clear on what activities are eligible for FFP.
Federal regulations give states the authority to claim FFP for administrative activates associated with the PASRR program included in their State Plan at Part §433.15(a)(9) of the CFR.
No, a nursing facility cannot perform a Level II pre-admission evaluation or resident review. 42 CFR §483.106(e)(iii) prohibits nursing facilities (or any entity th