[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: 42CFR483.120]



[Page 536-537]

 

                         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. 483.120  Specialized services.



    (a) Definition--(1) For mental illness, specialized services means 

the services specified by the State which, combined with services 

provided by the NF, results in the continuous and aggressive 

implementation of an individualized plan of care that--

    (i) Is developed and supervised by an interdisciplinary team, which 

includes a physician, qualified mental health



[[Page 537]]



professionals and, as appropriate, other professionals.

    (ii) Prescribes specific therapies and activities for the treatment 

of persons experiencing an acute episode of serious mental illness, 

which necessitates supervision by trained mental health personnel; and

    (iii) Is directed toward diagnosing and reducing the resident's 

behavioral symptoms that necessitated institutionalization, improving 

his or her level of independent functioning, and achieving a functioning 

level that permits reduction in the intensity of mental health services 

to below the level of specialized services at the earliest possible 

time.

    (2) For mental retardation, specialized services means the services 

specified by the State which, combined with services provided by the NF 

or other service providers, results in treatment which meets the 

requirements of Sec. 483.440(a)(1).

    (b) Who must receive specialized services. The State must provide or 

arrange for the provision of specialized services, in accordance with 

this subpart, to all NF residents with MI or MR whose needs are such 

that continuous supervision, treatment and training by qualified mental 

health or mental retardation personnel is necessary, as identified by 

the screening provided in Sec. 483.130 or Sec. Sec. 483.134 and 

483.136.

    (c) Services of lesser intensity than specialized services. The NF 

must provide mental health or mental retardation services which are of a 

lesser intensity than specialized services to all residents who need 

such services.