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What is OBRA?

OBRA (Omnibus Budget Reconciliation ACT of 1987) provides pre-screenings to individuals seeking admission to a Medicaid Certified Nursing Home. This is to  ensure individuals with a mental illness and/or developmental/intellectual disability receive appropriate care for both their medical and mental health needs in the least restrictive setting. This includes determining medical necessity for residing in a skilled nursing facility and if there is a need for specialized mental health services. Individuals who remain long-term in a skilled nursing facility are assessed yearly or as needed due to reported changes in condition. If it is determined that an individual no longer requires skilled nursing facility care or medical supervision, Community Mental Health will assist in coordination between the skilled nursing facility, individual, individual’s supports/guardian, and community providers in order to obtain needed treatment outside of the skilled nursing facility environment in compliance with MDHHS determinations.


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