The April 10, 2018 FAQ “Are individuals with a traumatic brain injury (TBI) subject to PASRR?” confirms that all individuals applying to a Medicaid-certified nursing facility (NF), regardles
According to 42 CFR 483.102(b)(3), an individual has an intellectual disability if he or she has:
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 dementia exclusion for mental illness allows for the Level II evaluator to stop the evaluation if they determine that the diagnosis of dementia is primary and the mental illness (MI) diagnosis is secondary. It is important to note that the diagnosis or verification of a diagnosis of MI and...
The April 2016 PASRR webinar "Is It Dementia, Delirium or Depression?" occurred on Tuesday, April 12th, at 1 PM EST (10 AM PST).
Richard Sanderson, a PTAC consultant, reviews a variety of tools to detect common mental health and substance use disorders, most of which are in the public domain. Sanderson categorizes the tools according to how long they take to administer, along with their strengths and weaknesses.
This is a copy of the Washington State Plan Amendment (SPA) that added developmental disability (DD) services to the set of Medicaid-financed Specialized Services available to individuals in nursing homes.
For many individuals with serious mental illness, antipsychotic medications play an important role in helping them to maintain and improve their mental health, It has been become increasingly clear, however, that antipsychotics are overprescribed, especially to individuals in nursing hom
On March 18, 2015, the National Association of State Directors of Developmental Disabilities Services (NASDDDS) released a Directors Alert Bulletin (DAB 01-2015) highlighting the vital role that state I/DD agencies play in the implementation and success of state PASRR programs.
The January 2015 PASRR webinar "Dementia and PASRR" occured on Tuesday, January 13th, at 1 PM EST (10 AM PST). The webinar was presented by Dr. Timothy Malloy, director of the Geriatric Department of Family Medicine at Nebraska Medicine.
To define an intellectual disability, 42 CFR 483.102(b)(3)(i) incorporates by reference the definition in AAMD's 1983 Manual. Copies of that manual are hard to find. An scanned copy is provided here. Page 11 indicates that a "developmental period" ends at age 18.
The August 2014 PASRR webinar "Supported Housing for People Living with Mental Illness" will occur on Tuesday, August 12th, at 1 PM EST (10 AM PST). The webinar was led by Bob Currie of Tennessee. You can download a PDF copy of the PowerPoint slides at the bottom of the page.
As part of a larger evaluation of the PASRR program, The Lewin Group wrote a paper that reviews literature concerning PASRR and mental health services for persons in nursing facilities.
This report outlines the findings from the second phase of a two-part study, which involved a national survey of the relevant agencies in all 50 States and the District of Columbia to determine how they have organized and administered Federal requirements under PASRR.
The National Association of State Mental Health Program Directors (NASMHPD) is the only national, not-for-profit 501(c)(3) membership organization to represent state mental health commissioners/directors and their agencies.
The National Association of State Directors of Developmental Disabilities Services (NASDDDS) is a nonprofit organization dedicated to assisting state agencies in developing effective, efficient service delivery systems that furnish high-quality supports to people with developmental disabilities.
The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation.
The National Disability Rights Network (NDRN) is the nonprofit membership organization for the federally mandated Protection and Advocacy (P&A) Systems and Client Assistance Programs (CAP) for individuals with disabilities.
The National Association of Councils on Developmental Disabilities (NACDD) serves as the national voice of State and Territorial Councils on Developmental Disabilities.