- THCA

Volume XXX, Number 7
July 2015

MEMBER ALERT: PASRR Changes are coming this Month

New PASRR Rule

DADS is in the final stages of making a New Rule related to Preadmission Screening and Resident Review (PASRR) facility requirements, which will take effect early this month. These new requirements will place added responsibilities on the nursing facilities for coordinating assessments and certain types of services.

A Provider Letter due to come out soon will outline the new responsibilities related to assessment coordination, specialized services, new rule language, and how changes will affect the survey process.

Keep your eyes open for this Provider Letter!

Quality Service Review

DADS with other stakeholders has established some mutually agreed upon outcome measures, which they believe will indicate the level of compliance with the PASRR program requirements, by not only nursing facilities but also the Local Authorities involved in the process.

Quality Service Reviews (QSR) began across the state a few months ago in a small sample of nursing facilities. These reviews are done after the identification of specialized services by the joint interdisciplinary team, which includes the nursing facility, Local Authority, and in some cases, community-based providers. The review evaluates each step in the process as well as all entities involved, looking to ensure there was correct implementation, accurate evaluation, timely service delivery, person-centered planning, continuity throughout program planning and sufficient progress or achievement of the developed outcome measures.

Over the next 6 months DADS will be building a larger QSR team which will conduct PASRR compliance reviews state-wide. DADS will also be developing a webpage (which will be linked to the existing Quality Matters site) and a training series for nursing facilities and Local Authorities will be available with a 360 degree view of the entire PASRR process which ends with QSR.

Modifications to the LTC Online Portal

On June 25th 2015 the Texas Medicaid & Healthcare Partnership implemented a modification to the Long Term Care (LTC) Online Portal. Effective July 7, 2015 nursing facilities must document Interdisciplinary Team (IDT) meetings that occur between Local Authorities/Local Mental Health Authorities (LA/LMHA) and the nursing facility, on behalf of PASRR positive individuals. These IDT meetings are for the purpose of developing the individual’s comprehensive care plan and to determine what specialized services the individual will receive based on their needs. Documentation of the IDT will occur through the LTC Online Portal using the IDT tab on the PASRR Level 1 (PL1 ) Screening Form. Once the nursing facility has documented the IDT meeting in the Portal the (LA/LMHA) will be able to confirm attendance and agreement of the specialized services determined during the IDT and entered in the Portal by the nursing facility. After documentation has been completed they will be displayed as an IDT History at the bottom of the IDT tab.

Additional information will be published on this website (http://www.tmhp.com/
pages/LTC/ltc_home.aspx)
on July 3, 2015, as an addendum to the Local Authority PASRR Workshop User Guide.

For questions about these changes to the LTC Online Portal, contact the LTC Help Desk at 1-800-626-4117, Option 1.