Virginia Administrative Code › Title 12 - HEALTH › Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES › Chapter 130 - AMOUNT, DURATION AND SCOPE OF SELECTED SERVICES › Part III - Preadmission Screening and Annual Resident Review › Section 12VAC30-130-250 - Evaluating whether an individual with MR/RC requires specialized services (PASARR/MR)

Current through Register Vol. 40, No. 24, July 15, 2024
A. The purpose
				  of this section is to identify the minimum data needs and process requirements
				  for the state MRA to determine whether or not the applicant or resident with
				  mental retardation or a related condition needs a continuous specialized
				  services program. Minimum data collected must include the individual's
				  comprehensive history and physical examination results to identify the
				  following information or, in the absence of data, must include information that
				  permits a reviewer specifically to assess:
1.
				  The individual's medical problems;
2. The level of impact these problems have on
				  the individual's independent functioning;
3. All current medications used by the
				  individual and the current response of the individual to any prescribed
				  medications in the following drug groups: hypnotics, antipsychotics
				  (neuroleptics), mood stabilizers and antidepressants, antianxiety-sedative
				  agents, and anti-Parkinsonian agents.
4. Self-monitoring of health
				  status;
5. Self-administering and
				  scheduling of medical treatments;
6. Self-monitoring of nutritional
				  status;
7. Self-help development
				  such as toileting, dressing, grooming, and eating;
8. Sensorimotor development, such as
				  ambulation, positioning, transfer skills, gross motor dexterity, visual motor
				  perception, fine motor dexterity, eye-hand coordination, and extent to which
				  prosthetic, orthotic, corrective or mechanical supportive devices can improve
				  the individual's functional capacity;
9. Speech and language (communication)
				  development, such as expressive language (verbal and nonverbal), receptive
				  language (verbal and nonverbal), extent to which nonoral communication systems
				  can improve the individual's function capacity, auditory functioning, and
				  extent to which amplification devices (e.g. hearing aid) or a program of
				  amplification can improve the individual's functional capacity;
10. Social development, such as interpersonal
				  skills, recreation-leisure skills, and relationships with others;
11. Academic/educational development,
				  including functional learning skills;
12. Independent living development such as
				  meal preparation, budgeting and personal finances, survival skills, mobility
				  skills (orientation to the neighborhood, town, city), laundry, housekeeping,
				  shopping, bed making, care of clothing, and orientation skills (for individuals
				  with visual impairments);
13.
				  Vocational development, including present vocational skills;
14. Affective development such as interests,
				  and skills involved with expressing emotions, making judgments, and making
				  independent decisions; and
15. The
				  presence of identifiable maladaptive or inappropriate behaviors of the
				  individual based on systematic observation (including, but not limited to, the
				  frequency and intensity of identified maladaptive or inappropriate
				  behaviors).