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Screening for Mental Illness in Nursing Facility Applicants:
Understanding Federal Requirements

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U.S. Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
Office of Managed Care


Acknowledgments

This report was prepared by The Lewin Group for the Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA). Authors include Karen Linkins, Gail Robinson, Julia Karp, Sara Cooper, Joe Liu, and Stacey Bush, all of The Lewin Group. Jan Earle, health insurance specialist at the Centers for Medicare and Medicaid Services (CMS, formerly the Health Care Financing Administration), offered invaluable assistance as the project coordinator. Shelagh Smith, MPH, was the Government Project Officer in the Center for Mental Health Services.

Disclaimer

Material for this report was prepared by The Lewin Group for the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (DHHS), under contract # 282-98-0015, Center for Mental Health Services. The content of this publication does not necessarily reflect the views or policies of SAMHSA or DHHS.

Public Domain Notice

All material appearing in this report is in the public domain and may be reproduced or copied without permission from the Substance Abuse and Mental Health Services Administration. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, U.S. Department of Health and Human Services.

Electronic Access and Copies of Publication

This publication can be accessed electronically at the following Internet World Wide Web connection: http://www.samhsa.gov or http://www.mentalhealth.samhsa.gov. For additional free copies of this document, please call SAMHSA's National Mental Health Information Center, 1-800-789-2647.

Originating Office

Office of the Associate Director for Organization and Financing, CMHS/SAMHSA, 5600 Fishers Lane, 15-87, Rockville, MD 20857

Suggested Citation

Linkins, K.; Robinson, G.; Karp, J.; Cooper, S.; Liu, J.; and Bush, S. Screening for Mental Illness in Nursing Facility Applicants: Understanding Federal Requirements. SAMHSA Publication No. (SMA) 01-3543. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, July 2001.


Table of Contents

I. Executive Summary
II. Introduction
III. Background
IV. Understanding Medicaid Policy
V. The PASRR Process
VI. Responsibilities of Nursing Facilities, State Medicaid Agencies, and Mental Health Authorities
VII. Frequently Asked Questions
VIII. State Variations in PASRR Implementation
IX Current Issues and Concerns
X. Conclusion
XI. References
XII. Appendix

SMA01-3543

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