Preadmission Screening and Resident Review (PASRR) Notice of Proposed Rulemaking (NPRM)

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

“Today the Centers for Medicare & Medicaid Services (CMS) released a Notice of Proposed Rulemaking (NPRM) to propose revised regulations for Preadmission Screening and Resident Review (PASRR). Sections 1919(b)(3)(F) and (e)(7) of the Social Security Act require that all applicants to and residents of Medicaid-certified nursing facilities (NFs) be screened for mental illness (MI) and intellectual disability (ID) and, if necessary, be provided specialized services while in the NF. This NPRM will mark the first time the PASRR regulations have been significantly and substantively updated since they were initially promulgated 1992. Regulatory updates are needed to modernize the regulations and align with current statutory requirements; reduce duplicative requirements and other administrative burdens on state PASRR programs; and make the process more streamlined and person-centered.”

The proposed rule is scheduled for publication in the Federal Register on February 20, 2020.  Until that date, you can review the proposed rule in PDF format – all 132 pages – to see what the proposed changes are, including:

  • Updating PASRR-specific definitions of MI and ID;
  • Streamlining the Preadmission Screening process;
  • Implementing statutory changes to the Resident Review requirements that are not reflected in current regulations;
  • Authorizing the use of telehealth technology;
  • Simplifying the list of information that must be collected during evaluations;
  • Clarifying that Federal Financial Participation (FFP) is available for specialized services;
  • Placing greater emphasis on the role of the individual’s preference for where to receive long-term services and
  • Clarifying state PASRR programs’ federal reporting obligations

Comments regarding the proposed rule will be due no later than 5pm on April 20, 2020.  This date has a placeholder in the proposed rule for 60 days after publication.