0938-AT95 201910 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Preadmission Screening and Resident Review--Update (CMS-2418-P)

In 1993, CMS published regulations to implement requirements under OBRA ‘87 that all applicants to and residents of Medicaid-certified nursing homes be evaluated for mental illness and intellectual disability to ensure that nursing home placement was appropriate and, if so, the nursing home was adequately equipped to serve the individual’s needs. Because these regulations have not been updated since, they are now misaligned with statutory requirements that were later amended and refer to outdated diagnostic manuals and definitions. Lessons learned from 30 years of implementation also indicate that some regulations are duplicative, overly prescriptive, or vague. This proposed rule would update the regulations to remedy these issues.

]]> Other Significant Previously Published in The Unified Agenda Proposed Rule Stage Undetermined Undetermined Other 42 CFR 431 42 CFR 433 42 CFR 441 42 CFR 483 42 U.S.C.1396r(b)(3)(F) 42 U.S.C. 1396r(e)(7) 42 U.S.C. 1396b(a)(2)(C) No NPRM 01/00/2020 No State Undetermined No No Anne Blackfield Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 410 786-8518 anne.blackfield@cms.hhs.gov Center for Medicaid & CHIP Services, MS: S2-15-10, 7500 Security Boulevard, Baltimore MD 21244