The Department of Aging and Disability Services (DADS) has contracted with Kathryn du Pree,
an expert in services for individuals with intellectual and developmental disabilities (IDD), to
conduct quality service reviews (QSRs) of the implementation of federal requirements relating to
PASRR and the Americans with Disabilities Act (ADA), (collectively referred to herein as the
“federal requirements”), as they apply to certain individuals with IDD.
Ms. du Pree (the Expert Reviewer) and her team members (collectively, QSR reviewers) will
conduct QSRs of nursing facilities, community-based Medicaid service providers, and Local IDD
Authorities (LIDDAs) that provide service coordination and other services for individuals with
IDD who:
• reside in a nursing facility; or
• have been diverted from admission to a nursing facility into a community-based Medicaid
services program; or
• have transitioned from a nursing facility into a community-based Medicaid services program.
The QSRs will begin in January 2015. The QSRs are not part of the DADS’ regulatory survey
process. The purpose of the QSR process is to ensure individuals with IDD are receiving:
• the federally-required PASRR screening and evaluation;
• services in the most integrated residential settings consistent with their choice; and
• if residing in a nursing facility, the services, including specialized services, needed to maintain
their level of functioning and increase their independence.
The purpose of this letter is to inform LIDDAs, Medicaid-certified nursing facilities (NFs), and
community-based Medicaid program providers of their requirements related to the QSR process
that will be conducted by Ms. du Pree and her team of reviewers.
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