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HHS/CMS RIN: 0938-AT95 Publication ID: Spring 2019 
Title: ●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have not been updated since, they are now misaligned with statutory requirements that were later amended and refer to outdated diagnostic manuals and definitions.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.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: Undetermined 
EO 13771 Designation: Other 
CFR Citation: 42 CFR 431    42 CFR 433    42 CFR 441    42 CFR 483   
Legal Authority: 42 U.S.C.1396r(b)(3)(F)    42 U.S.C. 1396r(e)(7)    42 U.S.C. 1396b(a)(2)(C)   
Legal Deadline:  None
Action Date FR Cite
NPRM  01/00/2020 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Anne Blackfield
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid & CHIP Services, MS: S2-15-10, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-8518