The PASRR Technical Assistance Center helps states fulfill the goals of Preadmission Screening and Resident Review

If the answer to Minimum Data Set 3.0 Question A1500 is “yes”, and the individual has undergone a significant change in condition, should the nursing facility always contact the State Mental Health Authority or State Intellectual Disability Authority?

Yes, the CMS Long-Term Care Facility Resident Assessment Instrument (RAI) User’s Manual requires the NF to provide notification to the State-designated mental health (MH) or intellectual disability (ID) authority promptly when a resident with mental illness or intellectual disability experiences a significant change in mental or physical status. Referral to the MH/ID authority should be made as soon as the criteria indicative of a significant change are evident. For more information, see FAQ “What is considered a significant change in condition?

While the notification is required, the MI/ID authorities may exercise their expert judgment about when a Level II evaluation is needed. Each State Medicaid Agency, in consultation with the MI/ID authorities, may develop specific processes and guidelines for referral, and which types of significant changes should be referred.  

PTAC currently serves as a contractor for CMS.
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