This presentation will review the expanding role of MCO’s in managing LTSS, how their roles changes the PASRR partnership in states, and describe how Delaware engaged MCO’s in the state’s PASRR system. The presentation will highlight specific efforts Delaware made to engage MCO’s in their PASRR program and review some of the lessons learned to date.

The PASRR Technical Assistance Center has recently reviewed the tools states use for their preliminary Level I PASRR screens, and has analyzed PASRR-related items in the Minimum Data Set (MDS). In this webinar, the Director of PTAC, Ed Kako, will review some of those findings and describe the next steps PTAC will take in the research it conducts in partnership with the Centers for Medicare and Medicaid Services (CMS) and with states.

The presentation will provide an overview of Olmstead planning and the key issues that states should address when developing an Olmstead plan. Particular attention will be made to nursing facility placement issues, and why the PASRR process should be addressed in Olmstead plans.

Tennessee's Creating Homes Initiative has created over 11,000 safe, affordable housing opportunities with support services as needed for people living with mental illness since 2000. This presentation will describe how these affordable housing opportunities were created and how support services are provided to residents. Participants will learn strategies to assist in developing similar opportunities as well as how to identify and access similar services in their communities as alternatives to nursing home placements.

All residents of Medicaid- and Medicare-certified nursing homes are assessed with the Minimum Data Set (MDS), first shortly after admission and then periodically thereafter, including after a significant change in condition. Launched in late 2010, MDS 3.0 captures information about individuals who have been identified as having a PASRR-relevant disability. These questions allow us to ask a wide range of questions about the characteristics of these individuals, including age, functional status, and desire to return to the community (as captured by MDS Section Q). This presentation will provide a brief overview of MDS and demonstrate some of the state and national trends it can be used to identify. It will also introduce the "MDS Fact Sheet" -- a new kind of state-specific analysis that the PASRR Technical Assistance Center will distribute to states later in 2014.

Recovery Requires a Community is a program through the Ohio Department of Mental Health and Addiction Services that provides services to individuals with behavioral health diagnoses who wish to live in the community. The program aims to enforce the Olmstead decision and also reduce service delivery cost for the state of Ohio. Adam W. Anderson, chief architect and manager of the Recovery Requires a Community Program, will present on how the program works and how the program could be replicated in other states.

For the April 8th webinar, representatives from the states of Arkansas and Indiana will be presenting on promising practices within their states.

Quality monitoring has become an important component of many Medicaid programs. The regulations that govern Preadmission Screening and Resident Review (PASRR) do not require quality monitoring. Nonetheless, robust quality monitoring programs would help states to run PASRR programs that are more effective and more person-centered. In this webinar, we will review a set of useful quality measures and introduce an Excel-based tool that states can use to track these measures. The measures we will review are likely to be become mandatory for PASRR in the future. By attending the webinar, state staff and PASRR vendors can get an early start on gathering, reporting, and acting on these data.

Federal regulations relating to the Preadmission Screening and Resident Review (PASRR) program require states to provide for or arrange "specialized services" for nursing home residents with serious mental illness or intellectual/developmental disabilities who need disability-specific services beyond what nursing homes must provide under their daily rate. Owing to an ambiguity in federal regulations, states vary considerably in how specialized services are defined, provided, and paid for.