What constitutes specialized services? Can they be defined any way a state chooses?
Congress authorized HHS to define specialized services in regulation. The resulting HHS regulations define specialized services as those “specified by the State” that, combined with services provided by the nursing facility, result in the continuous and aggressive implementation of an individualized plan of care. The plan of care must be developed and supervised by an interdisciplinary team, which includes a physician, qualified mental health professional, and other professionals as appropriate. It must prescribe specific therapies and activities for the treatment of acute episodes of serious mental illness. The plan must also be directed toward diagnosing and reducing the resident’s behavioral symptoms that necessitated institutionalization, improving independent functioning, and achieving a level of function that enables the elimination of specialized services at the earliest possible time. Within the definition of specialized services articulated in Federal regulations, States maint
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