MedicaidAdministrativeLow impact
Critical Incident Report & Mortality Review Requirement for Specialized Services Recipients
Kentucky Medicaid·KY · Geriatrics, Psychiatry·Provider Letter
Effective date
Aug 14, 2026
We identified it
Aug 15, 2026
Summary
Kentucky's Department for Medicaid Services issued a directive requiring nursing facilities to provide timely communication and documentation to Community Mental Health Centers (CMHCs) when PASRR Specialized Services recipients die. CMHCs must submit critical incident reports, follow-up reports, and mortality review reports within 14 days of death, requiring prompt collaboration from nursing facility staff.
Action Required
This policy does not directly affect medical billing teams. However, healthcare practices operating nursing facilities in Kentucky that provide PASRR Specialized Services should: (1) Ensure facility staff understand the 14-day mortality reporting deadline; (2) Establish internal protocols to promptly communicate resident death information, relevant medical records, and clinical details to contracted CMHCs; (3) Designate responsible staff to coordinate with CMHCs on mortality review documentation. No changes to billing codes, prior authorization processes, or claim submission procedures are required. This is an administrative/operational directive for nursing facility compliance with federal PASRR regulations.