Antipsychotic rule loosened under CMS proposal

By Kimberly Marselas: For More Info, Go Here…

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Tucked into the 110-page proposed rule issued by the Centers for Medicare & Medicaid Services this week are updates governing the use of as-needed prescriptions for antipsychotics, a tool the agency had limited severely under Phase 2 regulations.

CMS now says it will allow PRN (Pro re Nata) prescriptions for antipsychotics to run more than 14 days if an attending physician or prescriber documents the rationale in a resident’s medical record. They also must indicate the expected duration. That’s a reversal, with standards adopted last year requiring a doctor’s exam to prescribe as-needed medication for more than two weeks.

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