PASRR Manual
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PASRR - II. Definitions
Definitions include sources when applicable, in parentheses.
- Change in condition: a change in status, either physical
or mental, which results in a decline or improvement in the mental health or
developmental disability status or functional abilities of the resident, and is
unexplained by the use of medication, a medication interaction, an acute illness
or infection. The change in condition (CIC) review has replaced the requirement
for an annual resident review.
- CIC: change in condition.
- CFR: Code
of Federal Regulations.
- CMR: Code of Maine Regulations.
- Code of Federal Regulations: the collection
of rules and regulations of the Federal government. 42 CFR Ch IV, Subpart C
governs the PASRR program.
- Code of Maine Regulations: the collection of rules
and regulations of the State of Maine. These include the licensing rules for
NFs (10-144 CMR 110), and the MaineCare Manual (10-144 CMR 101).
- Dementia: a clinical syndrome characterized by a
decline in mental function of long duration in an alert individual. Symptoms
of dementia include memory loss and the loss or diminution of other cognitive abilities,
such as learning ability, judgment, comprehension, attention, and orientation to
time and place and to oneself (from “Regulations Governing the Licensing and
Functioning of Skilled Nursing Facilities and Nursing Facilities,” 10-144 CMR
110, Ch 23.A.2).
- Department of Health and Human Services: the state
MaineCare (Medicaid), mental health and developmental disability authority, the
administrator of the Minimum Data Set (MDS) program and the licensing authority
for NFs.
- DHHS: the Department of Health and Human
Services.
- DSM American Psychiatric Diagnostic and
Statistic Manual, current edition. Required by 42 CFR § 483.102(b)(1)(i)
to identify and describe major mental illness.
- Level I screen: the preliminary screen conducted
on all persons seeking admission to a nursing facility (NF) or skilled nursing facility
(SNF), to identify persons with major mental illness or developmental disability
.
- Level II assessment: ; the evaluation process
that confirms the presence of a mental illness or developmental disability , determines
the need for specialized services, and makes recommendations for the provision of
services.
- MaineCare Manual: the regulations governing the MaineCare (Medicaid)
program in Maine, 10-144 CMR 101.
- MDS: Minimum Data Set. A comprehensive assessment
program conducted by NFs and administered by DHHS.
- Mental health authority: The Department of Health
and Human Services (DHHS), the agency of state government authorized to make determinations
of need for admission to a nursing facility, for persons who have been identified
as having a major mental illness.
- Mental illness: a primary or secondary diagnosis
of a mental disorder as defined in the American Psychiatric Association’s
Diagnostic and Statistic Manual of Mental Disorders (current edition), which
does not include dementia (from “Regulations Governing the Licensing and Functioning
of Skilled Nursing Facilities and Nursing Facilities,” 10-144 CMR 110, Ch 1). See
section III for more details.
- developmental disability : a significantly subaverage general
intellectual functioning existing concurrently with deficits in adaptive behavior
and manifested during the developmental period (from “Regulations Governing
the Licensing and Functioning of Skilled Nursing Facilities and Nursing Facilities,” 10-144
CMR 110, Ch1; the American Association on developmental disability’s Manual
on Classification in Mental Retardation [1983]). See Section IV for
more details.
- developmental disability authority: The Department of Health
and Human Services (DHHS), the agency of state government authorized to make determinations
of need for admission to a nursing facility, for persons who have been identified
as having developmental disability .
- Minimum Data Set (MDS): the state approved assessment
instrument which is the current core set of screening, clinical and functional status
elements forming the foundation for the comprehensive assessment of all residents
in nursing facilities (from “Regulations Governing the Licensing and Functioning
of Skilled Nursing Facilities and Nursing Facilities,” 10-144 CMR 110, Ch 12
B.1.b).
- Module V: the preadmission screening tool to
identify persons with major mental illness or developmental disability . It is divided
into two parts, Level I screen and Level II assessment.
- NF: nursing facility.
- Nursing facility: a facility licensed by DHHS to provide
nursing services.
- PASRR: Pre-admission Screening and Resident
Review.
- Pre-Admission Screening: the procedure that screens
each applicant to a nursing facility in order to ensure that individuals with mental
illness or developmental disability require the level of care furnished by the facility.
A part of the PASRR program.
- Specialized Services: services that are provided in addition
to the routine care provided by an NF, and that result in the continuous and aggressive
implementation of an individualized plan of care for mental illness. These
services are part of the State MaineCare (Medicaid) Plan.
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