1 Tex. Admin. Code § 355.748 - Reimbursement Methodology for Preadmission Screening and Resident Review (PASRR) Level II Evaluations
(a) Qualified
providers. Payments are made to qualified providers delivering a Level II
evaluation to determine if a person believed to have a mental illness (MI) or
an intellectual or developmental disability (IDD) requires the level of care
provided by a nursing facility (NF) and, if so, whether the person needs
specialized services for their MI or IDD according to the program rules as
defined in 40 TAC Chapter 17 (relating to Preadmission Screening and Resident
Review).
(b) Unit of service.
Qualified providers are reimbursed based on a 15-minute unit of service for a
PASRR Level II evaluation.
(c)
Reimbursement methodology.
(1) The Health and
Human Services Commission determines the PASRR Level II evaluation rate based
on the salary cost for a qualified provider and other statistical data on
providers delivering similar services.
(2) The reimbursement methodology for a PASRR
Level II evaluation is also governed by: §
355.108 of this chapter (relating
to Determination of Inflation Indices); §
355.109 of this chapter (relating
to Adjusting Reimbursement When New Legislation, Regulations, or Economic
Factors Affect Costs); and §
355.110 of this chapter (relating
to Informal Reviews and Formal Appeals).
Notes
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