Provider Letter No. 17-22 – Quality service reviews (QSRs) of the implementation of policies, procedures, and improvements relating to the Pre-admission Screening and Resident Review Process (PASRR) will be conducted and the process will continue with Texas Health and Human Services (HHS) staff. HHS QSR staff will continue to 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;
• have been diverted from admission to a nursing facility into a community-based Medicaid services program;
• have transitioned from a nursing facility into a community-based Medicaid services program.
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 being conducted by HHS QSR staff.
The QSRs are not part of the DADS/HHS regulatory survey process. The purpose of the QSR process is to ensure individuals with IDD are receiving: • the federally-required PASRR screening and evaluation; and • 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.
To find out more about The QSR Process, LIDDA Expectations and NF and Community-based Medicaid Service Provider Expectations. Read more HERE.