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.
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 July 26, 2017.
August 2017 PASRR Webinar Topic: The PASRR Initiative in Washington State Speakers: Frank Tetrick, consultant for PTAC & Terry Hehemann, PASRR Program Manager at Washington State Department of Social and Health Services Date: Tuesday, August 8th, 2017
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)
The April 2017 PASRR webinar "PASRR: The Dementia Exclusion for Serious Mental Illness" occured on Tuesday, April 11th, at 1 PM EST (10 AM PST). The webinar was presented by Frank Tetrick, consultant for the PASRR Technical Assistance Center (PTAC).
The enclosed 2016 report (below) updates the 2015 Review of State Preadmission Screening and Resident Review (PASRR) Policies and Procedures. The report was prepared by the PASRR Technical Assistance Center (PTAC), a partnership between Truven Health Analytics and Mission Analytics Group, under...
The March 2017 PASRR webinar "Recent Findings from Analyses of Quality Monitoring and Quality Improvement Measures in PASRR and from the MDS" occurred on Tuesday, March 14th, at 1 PM EST (10 AM PST).
The December 2016 PASRR webinar "Psychiatric Rehab in a 1915 (c) Waiver: Connecticut’s Mental Health Waiver" occured on Tuesday, December 13th, at 1 PM EST (10 AM PST). The webinar was presented by Wendy R. Ulaszek, PhD, Kevin Kunak, and Dan Gerwien.
The November 2016 PASRR webinar "The Current Climate of PASRR: Trends in Quality and Person-Centered Care" occured on Tuesday, November 15th, at 1 PM EST (10 AM PST). The webinar was presented by Chantal K. Hunt, PhD, RN, Ellen Olsen, MBA, MSW, and Jared Nyagol, PhD (ABD).
The Centers for Medicare and Medicaid Services (CMS) has ten Regional Offices (ROs) that provide a local presence necessary to achieve the Center's objectives. Each Regional Office works closely with CMS Central Office as well a number of states (between two and eight) that fall within their...
A PDF copy of the transcript for each module is available at the bottom of this page. Module 1: CFR Compliance
The October 2016 PASRR webinar "New Wide-Sweeping CMS Conditions of Participation for Nursing Homes to Support PASRR Requirements" occured on Tuesday, October 18th, at 1 PM EST (10 AM PST). The webinar was presented by Dustin T. Dodson, NHA, MBA.