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A Cost Allocation Plan (CAP) is a narrative description of the procedures that a state will use in identifying, measuring, and allocating costs that it incurs in supporting programs it administers or supervises.
According to 42 CFR 483.102(b)(3), an individual has an intellectual disability (previously mental retardation) if he or she has:
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 March 22, 2019.
June 2018 PASRR Webinar
Topic: The 30th Anniversary of PASRR
Speaker: Frank Tetrick, consultant for the PASRR Technical Assistance Center (PTAC)
Date: Tuesday, June 12th, 2018
Time: 1 - 2:30 PM Eastern
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.
May 2018 PASRR Webinar
Topic: MDS State Profiles
Speakers: Ed Kako, Director of the PASRR Technical Assistance Center (PTAC) and Anne Blackfield, Health Insurance Specialist for CMS
Date: Tuesday, May 8th, 2018
Time: 1 - 2:30 PM Eastern
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...
April 2018 PASRR Webinar
Topic: Discharge Planning and Transitions into the Community
Speaker: Frank L. Tetrick, consultant for the PASRR Technical Assistance Center (PTAC)
Date: Tuesday, April 10th, 2018
Time: 1 - 2PM Eastern
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.
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