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CMS Proposes Revisions to PASRR Rule

The Centers for Medicare & Medicaid Services (CMS) published a proposed rule on Feb. 20 that would revise requirements for Preadmission Screening and Resident Review (PASRR). While many of the changes seek to clarify or reinforce requirements already in statute, this overhaul could have significant implications for nursing homes.  

The PASRR process assesses the needs of individuals with mental illness or intellectual disability applying to or residing in Medicaid-certified nursing homes. The purpose of this process is to ensure that individuals are not placed in nursing homes unnecessarily or without adequate services to support successful maintenance in the environment.

The PASRR program was created as part of the Omnibus Budget Reconciliation Act of 1987 (OBRA ’87) and this proposed rule represents the first significant revision of the program since implementation.

LeadingAge has prepared an analysis highlighting key components of the proposed rule. Some of the proposed changes reflect actual changes to the rule and program, while other proposed changes simply clarify existing statutory requirements.

The PASRR program is ultimately implemented at the state level through the state Medicaid authority, and the proposed rule leaves opportunity for states to tailor some aspects of the program to fit the individual state’s needs and resources. We have reached out to the Minnesota Department of Human Services to request a meeting to review the proposed changes together.

 Feedback to CMS is due by April 20. LeadingAge will be soliciting feedback from members and coordinating with other stakeholder groups as it prepares formal comments on the rule. We will provide additional information in the coming weeks.

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