The Office of Specialized Nursing Homes/OBRA Programs was originally established in response to the provisions of the federal Omnibus Budget Reconciliation Act (OBRA) of 1987, which amended the Medicaid program requirements for nursing facilities.Its primary function has been to assure the implementation of those provisions of OBRA which address the relationship of nursing facilities to persons who are seriously mentally ill or have an intellectual/developmental disability (ID/DD).If you think they aren’t searching for love there in substantial numbers, you probably aren’t aware of numerous websites with a specific focus on meeting their matchmaking needs.I know several older adults myself who have found love on the Internet, but I’m also aware of some horror stories.An independent analysis by the Congressional Budget Office estimated that it would lead to 15 million fewer Americans on Medicaid over the next ten years, while giving higher-income Americans nearly 0 billion in tax cuts.Controversy over the bill prompted Senate Majority Leader Mitch Mc Connell to delay a vote until after the July 4 recess.Laura Brown is worried about the Senate health care bill, but not for her own sake.
When Brown’s family moved her grandmother to a hospital-run home a few years ago from a private assisted living facility, “the money had run out,” Brown says.
The preadmission screening/annual resident review (PASARR) required by OBRA is the major function of the office.
Under the PASARR program, all persons seeking admission to a nursing facility who are seriously mentally ill or have an intellectual/developmental disability are required to be evaluated to determine whether the nursing facility is the most appropriate place for them to receive services and whether they require specialized behavioral health services.
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