This regulation governs interstate financial and administrative responsibility for Pre-Admission Screening and Resident Review (PASARR) determinations under Medicaid. It specifies that the individual's state of residence bears responsibility for conducting PASARR and making required determinations, even when placement occurs in an out-of-state facility. States may formalize these arrangements through provider agreements or reciprocal interstate agreements with out-of-state facilities.
View official source§ 483.110 Out-of-State arrangements. (a) Basic rule. The State in which the individual is a State resident (or would be a State resident at the time he or she becomes eligible for Medicaid), as defined in § 435.403 of this chapter, must pay for the PASARR and make the required determinations, in accordance with § 431.52(b). (b) Agreements. A State may include arrangements for PASARR in its provider agreements with out-of-State facilities or reciprocal interstate agreements. [57 FR 56506, Nov. 30, 1992; 58 FR 25784, Apr. 28, 1993]