[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR483.114]



[Page 535]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 483_REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES--Table 

of Contents

 

 Subpart C_Preadmission Screening and Annual Review of Mentally Ill and 

                      Mentally Retarded Individuals

 

Sec. 483.114  Annual review of NF residents.



    (a) Individuals with mental illness. For each resident of a NF who 

has mental illness, the State mental health authority must determine in 

accordance with Sec. 483.130 whether, because of the resident's 

physical and mental condition, the resident requires--

    (1) The level of services provided by--

    (i) A NF;

    (ii) An inpatient psychiatric hospital for individuals under age 21, 

as described in section 1905(h) of the Act; or

    (iii) An institution for mental diseases providing medical 

assistance to individuals age 65 or older; and

    (2) Specialized services for mental illness, as defined in Sec. 

483.120.

    (b) Individuals with mental retardation. For each resident of a NF 

who has mental retardation, the State mental retardation or 

developmental disability authority must determine in accordance with 

Sec. 483.130 whether, because of his or her physical or mental 

condition, the resident requires--

    (1) The level of services provided by a NF or an intermediate care 

facility for the mentally retarded; and

    (2) Specialized services for mental retardation as defined in Sec. 

483.120.

    (c) Frequency of review--(1) A review and determination must be 

conducted for each resident of a Medicaid NF who has mental illness or 

mental retardation not less often than annually.

    (2) ``Annually'' is defined as occurring within every fourth quarter 

after the previous preadmission screen or annual resident review.

    (d) April 1, 1990 deadline for initial reviews. The first set of 

annual reviews on residents who entered the NF prior to January 1, 1989, 

must be completed by April 1, 1990.