PASRR regulations include requirements for written notices of determination and evaluation reports to be produced as a part of the assessment process. The notices of determination and evaluation reports must include specific information about the outcomes of the evaluation, the person’s disability, and the necessary services and supports needed. Additionally, these written documents must be disseminated to specific entities. This webinar will review the regulations regarding PASRR notifications and help PASRR stakeholders understand requirements for achieving compliance with the written determination and notice process. Additionally, the webinar will explore strategies for creating effective, person-centered notices that have the potential to lead to positive outcomes for the individuals assessed.

This webinar will review findings of 2018 National Report and consider what they reveal about how states finance and operate PASRR programs.

This webinar will highlight the ongoing relationship of State Authorities and Nursing Facilities (NF) throughout the PASRR process. The webinar will address 1) the relationship between PASRR and Nursing Facility level of care; 2) the relationship between the PASRR regulations and the recently updated regulations that govern the conditions of participation for long-term care facilities; and 3) the relationship between PASRR and MDS 3.0. Various FAQs from the PTAC website will be used as reference material.

The September Indiana PTAC webinar is Part II of the broader state initiative to improve its PASRR process. A key feature of their improvement effort is the recognition that PASRR shares many goals associated with the No Wrong Door initiative in the state. The webinar will include discussion on how these two distinct initiatives share common values and goals. The webinar will help states understand the lessons Indiana learned in connecting the NWD and PASRR initiatives.

This webinar highlights how the state of Indiana, with leadership from the Division of Aging (DA), has significantly transformed their PASRR system through a highly collaborative process. From 2014 through 2016, the DA worked with a range of stakeholders to build support for, and ownership of, the new PASRR system, including the state’s Area Agencies on Aging, nursing facilities, the Indiana Hospital Association, advocacy organizations, and other divisions within the Family and Social Services Administration. The stakeholders agreed their objective was “to provide a person-centered PASRR system that effectively and efficiently identifies the most appropriate services and settings.”

This webinar will provide an overview of telehealth and the PASRR program and discusses the potential applications of telehealth to address barriers in PASRR. Although telehealth offers the opportunity to improve program efficiency and effectiveness, PASRR authorities must balance state-specific barriers, available resources, operational considerations, regulatory requirements, clinical quality, and budgetary limitations.

A look at PASRR’s past and its future. Since the passage of the Omnibus Budget Reconciliation Act of 1987, over thirty years ago, PASRR has become a critical part of the health care continuum and a driver of excellence in person-centered practices and individualized plans of care. This webinar will look back at pivotal moments in PASRR’s history, look at how PASRR implementation has changed over time, and consider important changes going forward. From practices to lessons learned to industry standards, states have played a major role in PASRR’s continuing success.

Findings of the 2014 and 2015 PTAC national reports point to issues in properly identifying individuals with PASRR conditions residing in nursing facilities. The webinar will describe the importance of using MDS data as a tool in investigating the reasons behind this issue and defining the MDS State Profiles distributed to states in late April 2018. The speakers will discuss the various hypotheses associated with the findings of the MDS data and share practical applications for using the MDS State Profiles in states. The webinar will also highlight the ways in which PTAC can support states’ drill-down of the data and strategies for making PASRR program changes to improve the MDS results.

A key objective of this webinar is to clarify the boundary conditions of transition services offered as part of the NF benefit. For example, it seems clear that transition services can last an indefinite amount of time—whether it takes someone 6 months or a year or 2 years to transition doesn't matter, in the sense that there is no cutoff point for those services (unlike with waivers and MFP). It's also clear that transition services in the NF benefit cannot cover payments that MFP can cover, such as a security deposit. However, it may be possible to buy certain goods for NF residents if doing so would help them prepare to transition successfully. For instance, if an individual's transition plan requires that he or she learn how to use a microwave, to heat foods at home, a Specialized Service within the NF benefit could enable him or her to purchase a microwave which they could then take with them. This webinar will answer questions and provide guidance in situations that are not immediately clear.