PASRR - Resources

• Federal
  • PASRR Regulations (42 CFR Part 483)
    • Subpart C (PDF)
    • Subpart E (PDF)
  • Nursing Facility Regulations (42 CFR Part 483)
    • Subpart B (PDF)
    • October 2016 Amendment (PDF)
  • ICF/MR Regulations (42 CFR Part 483)
    • Subpart I (PDF)
  • Federal State Operations Manual
    • Appendix J - Intermediate Care Facilities for Persons with Mental Retardation (PDF)
    • Appendix P - Survey Protocol for Long-Term Care Facilities (PDF)
    • Appendix PP - Interpretive Guidelines for Long-Term Care Facilities (PDF)
    • Appendix Q - Determining Immediate Jeopardy (PDF)

ADA.gov: Information and technical assistance on the Americans with Disabilities Act from the U.S. Department of Justice's Office of Civil Rights.

Information on the Civil Rights of Institutionalized Persons Act.

• Wisconsin
  • Wis. Stat. ch. 46 - Social Services
    • See Wis. Stat. § 46.279 regarding restrictions on placements and admissions to intermediate and nursing facilities.
    • See Wis. Stat. § 46.90 regarding the elder abuse reporting system.
    • Note: The Division of Quality Assurance previously issued DQA Numbered Memo 2006-028 indicating nursing homes should file elder abuse reports with the applicable DQA Regional Office in lieu of contacting the county's designated agency. It is anticipated that this memo will be reissued soon.
  • Wis. Stat. ch. 50 - Uniform Licensure
    • See Wis. Stat. § 50.06 regarding certain admissions to facilities.
  • Wis. Stat. ch. 51 - State Alcohol, Drug Abuse, Developmental Disabilities and Mental Health Act
  • Wis. Stat. ch. 54 - Guardianships and Conservatorships
    • See Wis. Stat. § 54.25 regarding duties and powers of guardian of the person.
    • See Wis. Stat. § 54.48 regarding protective placement and protective services.
    • See Wis. Stat. § 54.50 regarding temporary guardianships.
    • See Wis. Stat. § 54.52 regarding standby guardianships.
    • See Wis. Stat. § 54.54 regarding successor guardian.
    • See Wis. Stat. § 54.68 regarding review of conduct of guardian.
    • NOTE: Prior to the effective date of this chapter, which was December 1, 2006, all court orders granted full guardianship unless otherwise specifically noted by the court; after the effective date, wards retain all rights to make decisions expect as specifically identified by the court (limited guardianship)
  • Wis. Stat. ch. 55 - Protective Service System
    • See Wis. Stat. § 55.001 regarding declaration of policy.
    • See Wis. Stat. § 55.043 regarding adult-at-risk agency.
    • See Wis. Stat. § 55.055 regarding admissions initially made without court involvement.
    • See Wis. Stat. § 55.08 regarding protective services or protective placements: standards.
    • See Wis. Stat. § 55.12 regarding order for protective services or protective placement.
    • See Wis. Stat. § 55.13 regarding emergency protective services.
    • See Wis. Stat. § 55.135 regarding emergency and temporary protective placement.
    • See Wis. Stat. § 55.14 regarding involuntary administration of psychotropic medication.
    • See Wis. Stat. § 55.18 regarding annual review of protective placement.
    • See Wis. Stat. § 55.19 regarding annual review of order authorizing involuntary administration of psychotropic medication.
    • See Wis. Stat. § 55.23 regarding patients' rights.
  • Wis. Stat. ch. 146 - Miscellaneous Health Provisions
  • Wis. Stat. ch. 154 - Advance Directives
  • Wis. Stat. ch. 155 - Power of Attorney for Health Care
    • See Wis. Stat. § 155.20 regarding powers and limitations of a health care agent.
  • Wis. Stat. ch. 244 - Uniform Power of Attorney for Finances and Property
  • Wis. Admin Code ch. DHS 92 - Confidentiality of Treatment Records
  • Wis. Admin Code ch. DHS 94 - Patient Rights and Resolution of Patient Grievances
  • Wis. Admin Code ch. DHS 107 - Covered Services
  • Wis. Admin Code ch. DHS 129 - Certification of Programs for Training and Testing Nurse Aides, Medication Aides and Feeding Assistants (Appendix A)
  • Wis. Admin Code ch. DHS 132 - Nursing Homes (Appendix A)
  • Wis. Admin Code ch. DHS 133 - Home Health Agencies
  • Wis. Admin Code ch. DHS 134 - Facilities Serving People With Developmental Disabilities (Appendix A)

2009 Wisconsin Act 281 (Wis. Stat. § 50.08): Informed consent is required before administration of psychotropic medication to a nursing home resident who has degenerative brain disorder

• F-20822: County Review of Nursing Home, IMD or ICF/MR Referrals
• F-22191: Preadmission Screen and Resident Review (PASRR) Level 1 Screen
• F-24277: Informed Consent for Medications - Psychotropic Medications
• F-82009: Confidential Information Release Authorization

ForwardHealth Update 2008-43: Policy changes for PASRR Level 1 and nurse aide training/testing (PDF)

ForwardHealth Update 2009-42: Revised forms for nursing facilities (PDF)

F-01012: Reimbursement Request for a PASRR Level I Screen

Medcaid Handbook Topic #3189: Specialized Services

Nursing homes are also eligible for a $9.00 per member, per day supplement to the nursing home's daily rate for members with a serious mental illness who have been determined by the PASARR to require specialized services. Payments are made quarterly and are reflected on the nursing home's RA.

This supplemental reimbursement is available for members who are not developmentally disabled and only for those days on which the member is in the facility and receiving specialized services, so therapeutic and hospital bedhold days do not qualify. There is no supplement to the daily rate for the developmentally disabled members because of the funding sources for specialized services, including the Medicaid nursing home formula.

F-01104: Specialized Psychiatric Rehabilitation Services (SPRS) Monthly Roster

ForwardHealth Update 2017-04: New policy for nursing homes regarding developmentally disabled level of care assignments

F-01020: Nursing Home Care Determination Request