130 CMR 456.410 - The Preadmission Screening and Resident Review (PASRR) Process for Intellectual Disability (ID), Developmental Disability (DD), and/or Serious Mental Illness (SMI)
(A)
Introduction. Pursuant to
42 U.S.C.
1396r(e)(7)
et
seq. and 42 CFR
483.100
et seq., each
individual, regardless of payment source, seeking admission to a nursing
facility must be screened before admission to a nursing facility to identify
individuals who have or are suspected to have ID, DD, and/or SMI.
(B)
PASRR Level I
Screening.
(1) A Level I
screening using the EOHHS PASRR Level I Screening form (Level I Screening Form)
must be completed prior to admission for all individuals seeking admission to a
nursing facility, regardless of payment source.
(2) The Level I Screening Form must also be
completed for resident reviews, upon a significant change in condition, and in
any other circumstance required by EOHHS in sub-regulatory guidance. The
completed Level I Screening Form must be submitted to the appropriate PASRR
authority (DDS or its designee for ID or DD; DMH or its designee for SMI) and
be kept in the resident's medical record at the facility.
(C)
Referrals for PASRR Level II
Evaluation and Resident Review. If the Level I screening indicates
that the individual has or is suspected of having ID, DD, and/or SMI, the
screener must make the applicable referral or referrals to the appropriate
PASRR authority (DDS or its designee for ID or DD; DMH or its designee for SMI)
to complete a Level II evaluation and determination in accordance with any
applicable sub-regulatory guidance.
(D)
PASRR Level II
Determination.
(1) Prior to
admitting individuals requiring a Level II PASRR evaluation and determination,
the nursing facility must receive documentation from the applicable PASRR
authority determining that the individual is appropriate for admission to the
nursing facility and stating whether or not the individual needs specialized
services. The nursing facility must keep such documentation in the resident's
record at the facility.
(2) A
determination by the Massachusetts Department of Mental Health (or its
designee) or the Department of Developmental Services (or its designee) that
admission to the facility is not appropriate supersedes the authorization for
services by MassHealth or its agent.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.