New Specialized Psychiatric Rehabilitative Services Reimbursement Rate
Effective July 1, 2023, the Specialized Psychiatric Rehabilitative Services (SPRS) reimbursement rate increased from $23.39 to $24.19 per resident day. This supplemental payment is available to skilled nursing facilities that provide SPRS to residents determined to have a mental illness by a level II PASRR evaluation.
This updated rate is for all Medicaid-certified nursing homes and professionals who work in the Preadmission Screening and Resident Review (PASRR) process.
How to get the supplemental payment
To qualify for the supplemental payment, the nursing facility must address the SPRS on the resident care plan. The care plan must be reviewed and updated annually, or more frequently at a change in status, to reflect changes in the resident’s need for mental health services.
To maintain eligibility for the supplemental payment, an initial level II PASRR evaluation must be completed, and a resident review must be completed every two years afterward. This level II PASRR evaluation must indicate nursing facility placement is appropriate and SPRS is needed.
For more information, review the Wisconsin Medicaid Methods of Implementation for Nursing Home Payments Rates for July 1, 2022, through June 30, 2023, available on the ForwardHealth Resources for Skilled Nursing Facilities webpage. An updated Medicaid Methods of Implementation is coming soon.
PASRR contacts
- Donna Riemer—Division of Care and Treatment Services nurse consultant: Donna.Riemer@dhs.wisconsin.gov
- Marina Olivencia—Division of Medicaid Services nursing home IT analyst: marina.olivencia1@dhs.wisconsin.gov
- Chelsey Myhre Foster—Division of Care and Treatment Services PASRR coordinator: Chelsey.MyhreFoster@dhs.wisconsin.gov
PASRR contractor
- Address
Behavioral Consulting Services (BCS)
PO Box 953
Grafton, WI 53024 - Office phone: 262-376-1223
- Fax: 262-376-0920 | 262-376-0925 | 262-376-0927 | 262-376-0945
- Email: info@behavioralcs.com
- Website: www.behavioralcs.com
PASRR information and training
Join us for a PASSR training November 15-16, 2023, at the FOCUS Conference. It’s in person in Wisconsin Dells. Learn more about this event and register today
