Janine Finck Boyle, LeadingAge, version 2

The Centers for Medicare & Medicaid Services has softened its stance on psychotropics prescribing, looking to allow it more often as part of a newly proposed rule.

CMS says it wants to allow PRN (“as needed”) prescriptions for antipsychotics to run more than 14 days if an attending physician or prescriber documents the rationale in a resident’s medical record. That clinician also must indicate the expected duration. 

This change is likely to ease pain for providers, said LeadingAge’s Janine Finck-Boyle: “It is really important to remember that nursing homes — not regulators — have done the difficult work of finding alternatives to the use of antipsychotic medications.”