• State Update

HHSC Update: Guidance to Medicaid-Certified Nursing Facilities on PASRR

On March 30, 2020, the Texas Health and Human Services Commission (HHSC) received approval from the U.S. Centers for Medicaid and Medicare Services (CMS) to waive or modify certain requirements of Medicaid programs as a result of the consequences of the COVID-19 pandemic.

The waiver, granted under the authority of Section 1135 of the Social Security Act, allows the state of Texas to suspend PASRR Level I (PL1) screening and resident review (PASRR Level II) assessments for 30 days.

Additionally, the waiver allows all new admissions to a nursing facility (NF) to be treated like exempted hospital discharges. After 30 days, newly admitted people suspected of having a mental illness (MI), intellectual disability (ID) or developmental disability (DD) should receive a resident review as soon as resources become available.

In alignment with this waiver and to continue to allow completion of the Long-Term Care Medicaid Information (LTCMI) form on the Texas Medicaid and Healthcare Partnership (TMHP) Long-Term Care Online Portal (LTCOP) for use in medical necessity determinations the following guidance is being issued to NFs that admit a new resident beginning as of the date of this letter and lasting until HHSC issues further notice.