TX Register Updates: PASRR Changes
The following information was obtained from the February 22 issue of the Texas Register.
HHSC proposed to amend §355.310, Reimbursement Setting Methodology–Customized Power Wheelchairs and Associated Evaluations, and new §355.748, Reimbursement Methodology for Preadmission Screening and Resident Review (PASRR) Level II Evaluations. An excerpt:
The proposed changes to the PASRR program are a result of a Centers for Medicare and Medicaid Services (CMS) directive for the State to become fully compliant with federal requirements at Title 42 of the Code of Federal Regulations, Part 483, Subpart C, governing the State’s responsibility for preadmission screening and resident review of individuals with mental illness (MI) or an intellectual or developmental disability (IDD). In order to comply with the federal requirements, the Department of Aging and Disability Services has revised the PASRR Level II evaluation to determine if a person believed to have an MI or an IDD requires the level of care provided by a nursing facility (NF), and if so, whether they need specialized services for their MI or IDD.
- On DADS’ Behalf
HHSC proposed new Chapter 17, PASRR, Subchapter A, General Provisions; Subchapter B, Screening, Expedited Admission, and Resident Review; Subchapter C, Responsibilities; and Subchapter D, Vendor Payment. The new sections would address issues CMS identified regarding the PASRR program and generally redesign it. See the Texas Register for details.
HHSC proposed to repeal §19.2500, PASRR, in Chapter 19, Nursing Facility Requirements for Licensure and Medicaid Certification, which would remove outdated rules from the DADS rule base. For more information, see the Texas Register.