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Must PASRR be completed each year for MI/MR/DD residents in nursing facilities, as originally specified in 42 CFR 483.100-138?

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Must PASRR be completed each year for MI/MR/DD residents in nursing facilities, as originally specified in 42 CFR 483.100-138?

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The Balanced Budget act of 1996 eliminated the requirement for annual resident review, specifying that reviews are required instead upon changes in condition. A review and determination must be conducted promptly after a nursing facility has notified the state mental health authority or state mental retardation/developmental disability authority that there has been a significant change in the resident’s physical or mental condition (within an average of 7-9 days). CMS recommends States utilize the change of condition protocol in the MDS 2.0. The state Medicaid agency can work with the mental health and mental retardation authorities to define trigger points in the Significant Change in Status Assessment (SCSA) that would apply to any PASRR Level II resident.

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