Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Websites

10/29/2010

Centers for Medicare & Medicaid Services
Overview of Preadmission Screening and Resident Review (PASRR). Federal law requires that a Medicaid-certified nursing facility may not admit an applicant with serious mental illness (SMI), an intellectual disability (ID), or a related condition, unless the individual is properly screened, thoroughly evaluated, found to be appropriate for nursing facility placement, and will receive all specialized services necessary to meet the individual’s unique SMI/ID-related needs. Nursing facility residents with SMI or ID must have a Resident Review when there is a significant change in the resident’s physical or mental condition. CMS requires each state and territory to specify the PASRR program in their Medicaid State Plan.
Web address: http://www.cms.hhs.gov/pasrr/

The State Medicaid Manual. This manual makes available to all state Medicaid agencies, in a form suitable for ready reference, informational and procedural material needed by states to administer the Medicaid program. The manual provides instructions, regulatory citations, and information for implementing provisions of Title XIX of the Social Security Act. Instructions are official interpretations of the law and regulations, and, as such, are binding on Medicaid state agencies. The material is organized into major parts, which are divided into chapters and sections. The manual is structured as closely as possible to the codification of Medicaid regulations. A crosswalk of manual sections and regulations is also included.
Web address: http://www.cms.hhs.gov/Manuals/PBM/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=1&sortOrder=ascending&itemID=CMS021927&intNumPerPage=10

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